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Analog and digital protocols for functional prosthetic rehabilitation of post-COVID-19 rhino-orbito cerebral mucormycosis maxillofacial defects: A case series
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Analog and digital protocols for functional prosthetic rehabilitation of post-COVID-19 rhino-orbito cerebral mucormycosis maxillofacial defects: A case series
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Analog and digital protocols for functional prosthetic rehabilitation of post-COVID-19 rhino-orbito cerebral mucormycosis maxillofacial defects: A case series
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Journal Article
Analog and digital protocols for functional prosthetic rehabilitation of post-COVID-19 rhino-orbito cerebral mucormycosis maxillofacial defects: A case series
2023
Overview
The current study aims to present our clinical observations and experience gathered during the diagnosis, clinical presentation, medical/surgical treatment, and functional prosthetic rehabilitation of cases of rhino-orbital/cerebral Mucormycosis patients. Mucormycosis is an aggressive, life-threatening invasive fungal infection that occurs in people who are immune-compromised. The rise of ROCM during the second wave of the COVID-19 pandemic in India suggests a more effective association between Mucormycosis and the SARS-CoV-2 delta variant. The treatment strategy for Mucormycosis is an early diagnosis which is critical for a successful outcome. The initial step is to reduce or remove underlying risk factors followed by surgical excision and debridement of the afflicted tissues supplemented with antifungal medication. The first-line antifungal treatment is Liposomal Amphotericin B. Postsurgical resection defects are rehabilitated by either removable partial prosthesis (obturators) or by fixed zygomatic implant/patient-specific implant supported prosthesis. Management of ROCM requires a multidisciplinary approach. This case series highlights detailed medical, surgical, and functional prosthetic management modalities adopted by our team in managing such a dreaded disease which may be used as a tool for the formulation of standardized prevention and management/treatment/rehabilitation protocols in the future so that disease morbidity and mortality be reduced and an endemic outbreak could be averted.
Publisher
Wolters Kluwer India Pvt. Ltd,Medknow Publications and Media Pvt. Ltd,Medknow Publications & Media Pvt. Ltd,Wolters Kluwer - Medknow,Wolters Kluwer Medknow Publications
