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A Novel Classification System for Oral Cavity Mucormycosis: a Hospital Based Cross-Sectional Study
Kranti Bhavana1, Aiswarya Vaidyanathan2, Naqoosh Haidry2
1Department of ENT, AIIMS, All India Institute of Medical Sciences, Phulwarisharif, Patna, Bihar 801507 India.
Journal of Maxillofacial and Oral Surgery
|December 18, 2023
Summary
A new protocol helps manage oral complications of Rhino-oculo-cerebral Mucormycosis (ROCM) after COVID-19. This approach aids surgeons in treating oral ROCM, potentially avoiding unnecessary aggressive tissue removal.
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
- COVID-19 Research
Background:
- Rhino-oculo-cerebral Mucormycosis (ROCM) is a serious post-COVID-19 complication.
- Oral cavity involvement in ROCM lacks established management protocols.
- This study addresses the management of oral extension of ROCM.
Purpose of the Study:
- To propose a management protocol for oral Mucormycosis.
- To derive a clinical-radiological classification system for oral ROCM.
- To guide surgeons in treating oral ROCM cases effectively.
Main Methods:
- Retrospective cross-sectional study of 53 oral ROCM cases.
- Data collected from May 2021 to August 2021 with a 1-year follow-up.
- Classification based on 4 preoperative parameters: tooth tenderness, mobility, palatal perforation, and radiological findings.
Main Results:
- 53 out of 220 ROCM cases involved the oral cavity.
- Primary closure achieved in 27 patients.
- 26 patients had oro-antral communication post-palate removal.
Conclusions:
- A novel protocol for managing oral ROCM has been developed.
- The protocol aims to optimize surgical decision-making and avoid excessive resection.
- This framework provides clarity for surgeons treating oral ROCM.
