{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T06:50:51Z","timestamp":1650610251759},"reference-count":16,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Cerebrospinal fluid (CSF) rhinorrhea is a common complication after transsphenoidal surgery (TSS). Suturing of sellar dura is effective in the prevention of postoperative CSF rhinorrhea, but it may cause rare postoperative infections. Herein, we report a case of <jats:italic>Aspergillus<\/jats:italic> sphenoiditis with the growth noted on cut ends of a polyvinylidene fluoride (PVDF) suture used for dural closure.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A previously healthy 51-year-old woman complained of abnormal odor 5 years after TSS for null cell adenoma. A white mass in the sphenoidal sinus was detected on rhinoscopy. Fungal balls were found clustered around the ends of a PVDF suture used for dural closure at the initial surgery. She underwent removal of both the fungal ball and dural suture. The pathological diagnosis was <jats:italic>Aspergillus<\/jats:italic> hyphae. It is thought that a dural suture protruding out of the sphenoid sinus mucosa can cause <jats:italic>Aspergillus<\/jats:italic> infection even in immunocompetent patients. A rapid and accurate diagnosis followed by surgical removal of the fungal ball and follow-up with oral antimycotic drugs result in good clinical outcomes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>It is crucial to cut short the suture end and cover it with sphenoid sinus mucosa to avoid such complications.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_921_2021","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T11:46:43Z","timestamp":1637668003000},"page":"567","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Aspergillus<\/i> sphenoiditis growth on long cut ends of a non-absorbable sellar floor dura closure 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