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鼻脑型毛霉菌病患者术后即刻假体重建：病例系列

Post surgical immediate prosthetic reconstruction in patients with rhinocerebral mucormycosis: Case series.

作者信息

Mahajan Kamya, Das Monalisha, Kumar G Ajay

机构信息

Department of Prosthodontics and Crown and Bridge, Army College of Dental Sciences, Secunderabad, Telangana, India.

出版信息

J Family Med Prim Care. 2022 Jan;11(1):379-385. doi: 10.4103/jfmpc.jfmpc_1192_21. Epub 2022 Jan 31.

DOI:10.4103/jfmpc.jfmpc_1192_21
PMID:35309624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8930136/
Abstract

Coronavirus disease has taken a toll on everyone's lives either physically or emotionally throughout the world. One of the most serious complications occurring currently in covid-positive and recovered patients is the deadly invasive mucormycosis. There are five clinical types of mucormycosis, out of which rhino-orbito-cerebral is the most common form (44%-49%). Management includes early diagnosis, control of the underlying diseases, and aggressive medical and surgical intervention. In patients undergoing maxillectomies, the use of immediate surgical obturators has become the gold standard. The rationale for its use is threefold-functional (matrix for the surgical dressing; allows the patient to speak and swallow), hygienic (separates the maxillary surgical site from contents of the oral cavity), and psychological (restores patient's self-image by reproducing lost oral structure). This article includes two case reports of patients diagnosed with rhinocerebral mucormycosis. The surgical debridement, medical management, and immediate reconstruction using palatal obturators have been explained.

摘要

在全球范围内，冠状病毒病在身体或情感上给每个人的生活都造成了影响。目前，新冠阳性患者和康复患者中出现的最严重并发症之一是致命的侵袭性毛霉菌病。毛霉菌病有五种临床类型，其中鼻眶脑型是最常见的类型（44%-49%）。治疗包括早期诊断、控制基础疾病以及积极的药物和手术干预。在接受上颌骨切除术的患者中，使用即刻外科阻塞器已成为金标准。使用它的理由有三个方面——功能方面（作为手术敷料的基质；使患者能够说话和吞咽）、卫生方面（将上颌手术部位与口腔内容物隔开）以及心理方面（通过重现失去的口腔结构恢复患者的自我形象）。本文包括两例被诊断为鼻脑型毛霉菌病患者的病例报告。文中解释了手术清创、药物治疗以及使用腭部阻塞器进行即刻重建的情况。

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引用本文的文献

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Post maxillectomy rehabilitation and amelioration of quality of life of post-COVID rhinocerebral mucormycosis patients using obturator: A case series.使用闭孔器对新冠后鼻脑型毛霉菌病患者进行上颌骨切除术后康复及生活质量改善：病例系列
J Family Med Prim Care. 2022 Nov;11(11):7476-7482. doi: 10.4103/jfmpc.jfmpc_975_22. Epub 2022 Dec 16.

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