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Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series
Mucormycosis, a rare fungal infection seen in diabetes, is now very frequent owing to the deadly triad of COVID-19 infection, diabetes, and rampant use of corticosteroids. Immediate management revolves around therapeutic drugs like antifungals, antibiotics, and aggressive surgical debridement. The c...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
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2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747633/ https://www.ncbi.nlm.nih.gov/pubmed/35023975 http://dx.doi.org/10.2147/CCIDE.S346315 |
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author | Ravi, M B Srinivas, Sowmya Silina, Ekaterina Sengupta, Soumee Tekwani, Tanvi Achar, Raghu Ram |
author_facet | Ravi, M B Srinivas, Sowmya Silina, Ekaterina Sengupta, Soumee Tekwani, Tanvi Achar, Raghu Ram |
author_sort | Ravi, M B |
collection | PubMed |
description | Mucormycosis, a rare fungal infection seen in diabetes, is now very frequent owing to the deadly triad of COVID-19 infection, diabetes, and rampant use of corticosteroids. Immediate management revolves around therapeutic drugs like antifungals, antibiotics, and aggressive surgical debridement. The cases described in the article explain prosthetic rehabilitation of maxillectomy defects. The findings focus on prosthetic rehabilitation of patients with acquired maxillectomy defects after mucormycotic necrosis post-COVID-19 infection and the techniques to overcome the complications like lack of supporting tissues and post-surgical microstomia. The maxillectomies were performed on patients who suffered a superinfection of mucormycosis after COVID-19 contraction and uncontrolled blood sugar levels. Case 1 elaborates a technique to overcome the complications like lack of supporting structures and microstomia by fabrication of sectional and hollow obturator prostheses using sectional impression technique and lost salt technique. Case 2 explains the management of an extensive defect with a mobile soft tissue flap and lone standing tooth by using a functional impression technique to gain retention and support from the remaining soft and hard tissues. Both the techniques overcome the clinical complications and give predictable outcomes. Prosthetic rehabilitation of such challenging cases needs modifications depending upon the clinical challenges encountered. |
format | Online Article Text |
id | pubmed-8747633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-87476332022-01-11 Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series Ravi, M B Srinivas, Sowmya Silina, Ekaterina Sengupta, Soumee Tekwani, Tanvi Achar, Raghu Ram Clin Cosmet Investig Dent Case Series Mucormycosis, a rare fungal infection seen in diabetes, is now very frequent owing to the deadly triad of COVID-19 infection, diabetes, and rampant use of corticosteroids. Immediate management revolves around therapeutic drugs like antifungals, antibiotics, and aggressive surgical debridement. The cases described in the article explain prosthetic rehabilitation of maxillectomy defects. The findings focus on prosthetic rehabilitation of patients with acquired maxillectomy defects after mucormycotic necrosis post-COVID-19 infection and the techniques to overcome the complications like lack of supporting tissues and post-surgical microstomia. The maxillectomies were performed on patients who suffered a superinfection of mucormycosis after COVID-19 contraction and uncontrolled blood sugar levels. Case 1 elaborates a technique to overcome the complications like lack of supporting structures and microstomia by fabrication of sectional and hollow obturator prostheses using sectional impression technique and lost salt technique. Case 2 explains the management of an extensive defect with a mobile soft tissue flap and lone standing tooth by using a functional impression technique to gain retention and support from the remaining soft and hard tissues. Both the techniques overcome the clinical complications and give predictable outcomes. Prosthetic rehabilitation of such challenging cases needs modifications depending upon the clinical challenges encountered. Dove 2022-01-06 /pmc/articles/PMC8747633/ /pubmed/35023975 http://dx.doi.org/10.2147/CCIDE.S346315 Text en © 2022 Ravi et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Series Ravi, M B Srinivas, Sowmya Silina, Ekaterina Sengupta, Soumee Tekwani, Tanvi Achar, Raghu Ram Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series |
title | Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series |
title_full | Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series |
title_fullStr | Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series |
title_full_unstemmed | Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series |
title_short | Prosthetic Rehabilitation of Rhino Orbital Mucormycosis Associated with COVID-19: A Case Series |
title_sort | prosthetic rehabilitation of rhino orbital mucormycosis associated with covid-19: a case series |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747633/ https://www.ncbi.nlm.nih.gov/pubmed/35023975 http://dx.doi.org/10.2147/CCIDE.S346315 |
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