Rehabilitation of Acquired Maxillary and Mandibular Defects Secondary to Mucormycosis - A Case Series
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Published on: January 28, 2020
Haren B Pandya1, Kaustubh M Bhad2, Vimesh R Patel3
1Department of Oral and Maxillofacial Surgery, Faculty of Dental Science, Dharmsinh Desai University, Nadiad, Gujarat, India.
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.
