Lacrimal Sac Rhinosporidiosis and Surgical Management by Transnasal Endoscopic Excision: A Case Series

Raju, George Rajesh; Suresh, Sandeep

doi:10.1002/lary.27322

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Various authors have published their results using surgical procedures like dacryocystorhinostomy (DCR) involving endoscopic DCR[18], [19] external DCR, 9 modified DCR 10 and Dacryocystectomy (DCT)[3], [11], [20], [21], [22], [23] with a success rate varying from 28.5% to 92.3%.…”

Section: Introductionmentioning

confidence: 99%

Lacrimal sac rhinosporidiosis: case report and review of literature with a new grading system to optimize treatment

Gupta

Singla

Pradhan

et al. 2019

Saudi Journal of Ophthalmology

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Rhinosporidiosis is a chronic granulomatous disease affecting the mucous membrane primarily and is caused by Rhinosporidium seeberi, an aquatic protistan parasite. The nose is the most common site of involvement and is seen in 83.3% cases, followed by ocular involvement in 11.2% cases and other sites like larynx, trachea and bronchus in 5.5% cases. In various oculosporidiosis case series, lacrimal drainage system involvement was seen to vary from 14.3% to 59.6% cases. Isolated lacrimal sac involvement in rhinosporidiosis was found in 45.8% (72 out of 157) cases of the lacrimal drainage system in a review of 31 studies.A variety of surgical procedures have been used to treat rhinosporidiosis of lacrimal sac like dacryocystorhinostomy, Dacryocystectomy, lateral rhinotomy and local lesion excision with a success rate varying from 28.5% to 92.3%. This wide variation in the success rate was due to the fact that a uniform surgical procedure was performed in all the cases of a particular series irrespective of the extent of disease.Grading the lacrimal sac rhinosporidiosis to decide the extent of surgical excision may help achieve better results. We present a grading system based on our own experience in a case of extensive rhinospodiosis of lacrimal sac and review of 31 studies published in the literature.A 24-year-old male from Nepal presented with the complaints of watering from his right eye of 13 years duration, swelling in the right medial canthal area with an extension to the inferior part of the orbit for 12 years and nasal blockage for 1.5 years. The patient had a history of previous intervention in which biopsy was taken from the nose and sent for histopathology that confirmed rhinosporidiosis. An extended intranasal endoscopic dacryocystectomy was done along with debridement and coblation of the lesion over the septum and nasopharynx. Intraoperatively a large rhinosporidiosis mass was seen filling the sac and was removed in toto along with the sac and nasolacrimal duct. Recurrence of a tiny lesion after 6 months in our case despite wide excision with the drilling of bony nasolacrimal duct and coblation, made us review the literature.

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Section: Introductionmentioning

confidence: 99%

Lacrimal sac rhinosporidiosis: case report and review of literature with a new grading system to optimize treatment

Gupta

Singla

Pradhan

et al. 2019

Saudi Journal of Ophthalmology

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“…Extranasal involvement is relatively rare. Primary involvement of ocular tract is reported in around 10%–15% of cases 12,13 . In the ocular region, the conjunctiva and lacrimal sac are the most affected areas.…”

Section: Discussionmentioning

confidence: 99%

Rhinosporidiosis—Factors predicting disease recurrence

Varghese

Kurien

Susheel

et al. 2021

Mycoses

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Rhinosporidiosis is a chronic granulomatous disease of the nose caused by Rhinosporidium seeberi. Though R seeberi was discovered by Guillermo Seeberi in Argentina in 1900 and its life cycle described by Ashworth in 1923, 1 the taxonomy of the organism remained uncertain. The lack of a known natural host or reservoir and the inability to grow the organism in culture media compounded the problem. Though initially thought to be a protozoan, the organism was later considered a fungus, and currently, R seeberi is classified as

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Endoscopic Dacryocystorhinostomy in Chronic Granulomatous Lesions of the Lacrimal Drainage System

Gupta

2020

Endoscopic Dacryocystorhinostomy

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Lacrimal Sac Rhinosporidiosis and Surgical Management by Transnasal Endoscopic Excision: A Case Series

Abstract: 4. Laryngoscope, 2018.

Cited by 7 publications

References 10 publications

Lacrimal sac rhinosporidiosis: case report and review of literature with a new grading system to optimize treatment

Lacrimal sac rhinosporidiosis: case report and review of literature with a new grading system to optimize treatment

Rhinosporidiosis—Factors predicting disease recurrence

Endoscopic Dacryocystorhinostomy in Chronic Granulomatous Lesions of the Lacrimal Drainage System

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