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- Title
MAXILLECTOMIES AND ORBITAL EXENTERATIONS IN COVID-19 PATIENTS WITH MUCORMYCOSIS - OUR EXPERIENCE WITH RESECTIONS, RECONSTRUCTION AND THEIR OUTCOMES.
- Authors
Anitha, Sura; Mahendar, Erugurala; Chikte, Baliram; Kumar, Arige Subodh
- Abstract
Background: Infection causes reduced immunity and increased susceptibility to Mucormycosis. Mucorales invade blood vessels, resulting in hemorrhage and thrombosis of blood vessels and tissue necrosis. Rhino-orbito-cerebral form is the frequent type with necrosis of tissues in nasal mucosa, nasal septum, the maxilla, the ethmoids, the orbit and contents, sphenoid sinuses, and Intracerebral extension through cavernous sinuses with thrombosis. The current study aimed to determine the pattern of Mucor infections, the type and extent of maxillary and other resections, and the role of primary flap cover in patients with rhino-orbital Mucormycosis. Methodology: The study was done from May to August 2021 at Gandhi Hospital and 250 patients with a rhino-orbito-cerebral form of Mucormycosis were included. Results: Age-wise distribution 52.40% were in the age group of 45-65 years with males at 67.20%. More than 80% were COVID-affected. Diabetes was the major risk factor along with steroid use. 63% of admissions were for Rhino-Orbito cerebral form. Type IIB and IIIB were the common maxillectomy done. Eleven primary flaps were done with four developing complications. 16.80% of deaths were seen. Conclusions: Rhino-orbit cerebral Mucormycosis was the common form, the majority were diabetic on steroid usage having got COVID-19. Pedicled flaps were the flaps of choice for primary cover after resection. Type IIB and III Maxillectomy were needed in the majority of cases.
- Subjects
COVID-19; MUCORMYCOSIS; NASAL mucosa; NASAL septum; SPHENOID sinus; CAVERNOUS sinus
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 4, p1086
- ISSN
0975-3583
- Publication type
Article