Rehabilitation of Acquired Maxillary and Mandibular Defects Secondary to Mucormycosis - A Case Series

毛霉菌病继发性上颌和下颌骨缺损的修复——病例系列

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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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