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Prosthetic Management of a Maxillofacial Defect Post-Mucormycosis: A Case Report
Farzad Kazemi1, Amirhossein Fathi2, Pooya Saeedi3
1Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran, mui.ac.ir.
Introduction:
Mucormycosis is a rare, aggressive fungal infection primarily affecting immunocompromised individuals. It can lead to significant tissue necrosis, including maxillary destruction. This case report explores the prosthetic rehabilitation of a patient with a severe maxillary defect caused by rhinocerebral mucormycosis, focusing on the challenges and effectiveness of reconstructive interventions.
Case Report:
A 68-year-old male with a history of recent COVID-19 infection presented with facial pain, swelling, and blurred vision. Diagnosis of rhinocerebral mucormycosis was confirmed, and the patient underwent urgent surgical debridement, including left hemimaxillectomy and enucleation of the left eye. A maxillary obturator was fabricated to restore oral and nasal cavity separation, enhancing speech and swallowing. An orbital prosthesis was integrated using magnetic attachments for enhanced retention. The patient successfully adapted to the prostheses, regaining essential functions. At the 2-year follow-up, he reported significant improvements in both function and esthetics, with the magnetic attachments ensuring comfort and ease of use.
