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Resection and Rehabilitation for COVID-19 Associated Rhino-Maxillary Mucormycosis: A Case Report

Often, patients with rhino-maxillary mucormycosis present with osteomyelitis and necrosis affecting the involved bone. Therefore, curative treatment involves a combination of antifungal therapy and surgical removal of the necrotic bone. In this case report, a 50-year-old female presented with pain i...

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Detalles Bibliográficos
Autores principales: Sneha, Alladi, Kumar M P, Santhosh, Krishnan, Murugesan, Dhasarathan, Pradeep, O R Muralidoss, Hemavathy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10307985/
https://www.ncbi.nlm.nih.gov/pubmed/37398772
http://dx.doi.org/10.7759/cureus.39670
Descripción
Sumario:Often, patients with rhino-maxillary mucormycosis present with osteomyelitis and necrosis affecting the involved bone. Therefore, curative treatment involves a combination of antifungal therapy and surgical removal of the necrotic bone. In this case report, a 50-year-old female presented with pain in the right side of her face and was diagnosed with rhino-maxillary mucormycosis involving the right maxillary sinus, posterior maxilla, orbital floor, and zygomatic bone. To address the condition, a total maxillectomy of the right maxilla was performed. The post-surgical defect was packed using cotton leno-weave fabric, impregnated with soft paraffin and containing 0.5% chlorhexidine acetate dressing, which was changed every 3(rd) day. After a six-month follow-up, satisfactory healing was observed. For, rehabilitation, a simple cast partial denture was used.