Nandini Bothra, Kavya Madhuri Bejjanki, Mohammad Javed AliRead More
“Gossypibioma” is a Latin word, “gossypium” meaning cotton and “boma” meaning place of concealment and is used to describe a retained surgical sponge or surgical gauze. It is also referred to as “Textiloma” or “retained foreign object” (RFO). A retained surgical sponge in the nasal cavity is rare, as the nasal cavity is visible to the naked eye. A 67-year-old man presented with a foul-smelling discharge and bleeding from left nostril since 3 months. Past history revealed that a left-sided endoscopic dacryocystorhinostomy (DCR) was performed elsewhere, 3 months ago. On endoscopic evaluation, retained gauze with discharge [Figure 1]a and diffuse granulation tissue in and around it was noted [Figure 1]b. The granulation tissue along with the retained gauze [[Figure 1]b inset] was removed under endoscopic guidance followed by triamcinolone acetate injection into the base of the residual granuloma [Figure 1]c. Postoperatively, nasal steroids and decongesants along with oral antibiotics and anti-inflammatory agents were used. After 1 month, repeat endoscopic evaluation revealed a total cicatricial closure of the ostium and synechiae between the septum and the lateral nasal wall along the expected lines in such clinical scenarios [Figure 1]d.