Pandya HB, Bhad KM, Patel VR, Diwan SR, Dave HM. Rehabilitation of Acquired Maxillary and Mandibular Defects Secondary to Mucormycosis - A Case Series.
Ann Maxillofac Surg 2023;
13:228-231. [PMID:
38405574 PMCID:
PMC10883218 DOI:
10.4103/ams.ams_79_23]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 09/15/2023] [Accepted: 10/01/2023] [Indexed: 02/27/2024] Open
Abstract
Rationale
To suggest a directing algorithm for rehabilitative management of complex soft and hard tissue defects due to mucormycosis.
Patient Concerns
An utmost need for surgical, reconstructive and rehabilitative options; functional, aesthetic, acceptable to the patient and enduring rehabilitation.
Diagnosis
Different cases of rhinomaxillary mucormycosis pertaining to the facial skeleton, diagnosed with the help of radiographic as well as fungal cultures.
Treatment
Thorough medical assessment, and antifungal prescription; followed by surgical resection of the affected areas, rigorous follow-up scheme and later rehabilitation with the help of implants and immediate loading.
Outcomes
Regular follow-ups for at least one year and successful rehabilitation providing acceptable functional outcomes.
Take-away Lessons
Unconventional pathologies like rhinomaxillary mucormycosis infecting the jaws require novel, unprecedented and elaborate procedures both surgical and reconstructive based on sound scientific principles. There must be a vision for the rehabilitation of such cases right from the commencement of the surgical treatment.
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