Varghese Ashish, Thomas Satish
Department of ENT, Christian Medical College & Hospital, Ludhiana-141 008, Punjab, India.
Ear Nose Throat J. 2010 Apr;89(4):E24-6.
Mucormycosis is rare in immunocompetent patients. We describe an unusual case of orbital apex syndrome secondary to mucormycosis that occurred in an immunocompetent 64-year-old man following multiple tooth extractions. We found no frank involvement of the maxillary sinus, which is the usual pathway of spread for this fungal infection. Therefore, we suggest two possible alternate pathways from the oral mucosa to the orbital apex: one via the anterosuperior and posterosuperior alveolar vessels and one via the infraorbital branch of the maxillary artery.
毛霉菌病在免疫功能正常的患者中较为罕见。我们描述了一例发生在一名64岁免疫功能正常男性身上的、继发于毛霉菌病的眶尖综合征的罕见病例，该患者在多次拔牙后发病。我们未发现上颌窦有明显受累，而上颌窦是这种真菌感染通常的传播途径。因此，我们提出从口腔黏膜至眶尖的两种可能的替代途径：一种是通过上前牙槽血管和后上牙槽血管，另一种是通过上颌动脉的眶下分支。
