Customised Patient-Specific Implants in Maxillofacial Reconstruction After Mucormycosis: A Case Series

Patient-specific implants(psi) manufactured using 3D printing and CAD-CAM technology have played a major role in the rehabilitation of complex maxillofacial defects caused due to mucormycosis also known as the black fungus, which is a rare fungal infection that originates as a result of inhalation of its filamentous hyphal form.

In this unique case series, we report six cases of complex maxillofacial defects caused due to mucormycosis managed by patient-specific implants, in Hyderabad. These patients had undergone either partial or total maxillectomy after being affected by mucormycosis and were disease-free clinically and radiographically for 6 or more months post-resection and were rehabilitated using patient-specific zygoma implants. All the implants and designs were standardized to achieve optimal functionality. The dental implant component was integrated into the PSI to achieve immediate postoperative dental rehabilitation.

This case series shows a new era of reconstruction other than the old standardised method of using allografts for reconstruction in the maxillofacial region.