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Prosthetic Rehabilitation of Nose After Partial Rhinectomy in a Patient Affected with Mucormycosis: A Case Report
Shrinidhi Jain1, Satyabodh S Guttal1
1Department of Prosthodontics, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka India.
Abstract:
Mucormycosis is a fungal infection commonly seen in Indian population, in which aggressive surgical intervention to cut away the infected tissue becomes necessary. This may cause disfigurement and leave open wounds which requires prosthetic replacement for psychological benefit and also protect the inner soft tissues of the patient which are exposed to the foreign bodies. Mucormycosis has shown a sudden surge in recent times associated with patients affected by Covid-19. It is a rare but serious complication which can cause loss of eye, nose and associated structures leaving the patient disfigured. The aim of this case report is to describe an economic but effective nonsurgical treatment option to restore the facial defect using acrylic resin baseplate to enhance retention by using the available undercuts and was packed using silicone material. The prosthesis was retained mechanically and omitted the use of any retentive aids such as the use of spectacles or implants.
Insights
Mucormycosis, a fungal infection, often necessitates surgical removal of tissue, leading to disfigurement. This report details an affordable, non-surgical prosthetic method for restoring facial defects, enhancing patient quality of life.
Area of Science:
- Medical Mycology
- Oral and Maxillofacial Surgery
- Prosthodontics
Background:
- Mucormycosis is a severe fungal infection prevalent in India, often requiring extensive surgical resection of infected tissues.
- Surgical intervention for mucormycosis can result in significant facial disfigurement and exposure of underlying structures.
- A recent surge in mucormycosis cases has been observed in patients recovering from COVID-19.
Purpose of the Study:
- To present an economical and effective non-surgical treatment for facial defects caused by mucormycosis.
- To describe a prosthetic rehabilitation technique utilizing readily available materials.
- To improve the psychological well-being and protect exposed tissues of patients with mucormycosis-related facial defects.
Main Methods:
- Fabrication of a custom obturator using an acrylic resin baseplate.
- Utilizing undercuts in the defect area for mechanical retention of the prosthesis.
- Packing the prosthesis with silicone material to ensure a comfortable and functional fit.
- The prosthesis was designed for mechanical retention, avoiding the need for spectacles or implants.
Main Results:
- The described prosthetic approach provided a cost-effective solution for restoring facial defects.
- The mechanical retention method proved successful in stabilizing the prosthesis without external aids.
- The silicone-packed prosthesis offered protection to exposed tissues and improved the patient's aesthetics.
Conclusions:
- Non-surgical prosthetic rehabilitation using acrylic resin and silicone is a viable and economical option for managing facial defects post-mucormycosis.
- This method enhances patient quality of life by addressing both functional and psychological aspects of disfigurement.
- The technique offers a valuable alternative for patients who may not be candidates for or prefer to avoid surgical implants or other retentive aids.
