Rehabilitation of Acquired Maxillary and Mandibular Defects Secondary to Mucormycosis - A Case Series

• Published in: Annals of maxillofacial surgery Vol. 13; no. 2; pp. 228 - 231
• Main Authors: Pandya, Haren B, Bhad, Kaustubh M, Patel, Vimesh R, Diwan, Shaswat R, Dave, Harsh Manoj
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.07.2023; Wolters Kluwer - Medknow
• Subjects: Case Report - Infections; Health aspects; Medical research; Medicine, Experimental; Mucormycosis; Posaconazole; obturator; pterygoid implant; zygomatic implant; patient specific implant; Rhinocerebral mucormycosis
• ISSN: 2231-0746; 2249-3816
• DOI: 10.4103/ams.ams_79_23

To suggest a directing algorithm for rehabilitative management of complex soft and hard tissue defects due to mucormycosis. An utmost need for surgical, reconstructive and rehabilitative options; functional, aesthetic, acceptable to the patient and enduring rehabilitation. Different cases of rhinomaxillary mucormycosis pertaining to the facial skeleton, diagnosed with the help of radiographic as well as fungal cultures. 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. Regular follow-ups for at least one year and successful rehabilitation providing acceptable functional outcomes. 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.