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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

Post maxillectomy rehabilitation and amelioration of quality of life of post-COVID rhinocerebral mucormycosis patients using obturator: A case series.

作者信息

Rathee Manu, Divakar Santhanam, Jain Prachi, Alam Maqbul, Singh Sandeep

机构信息

Department of Prosthodontics, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India.

出版信息

J Family Med Prim Care. 2022 Nov;11(11):7476-7482. doi: 10.4103/jfmpc.jfmpc_975_22. Epub 2022 Dec 16.

Abstract

Mucormycosis, a rare fungal infection seen in diabetes, is now very frequent owing to the deadly triad of COVID-19 infection, diabetes, and rampant use of corticosteroids. Early diagnosis and treatment can reduce the mortality and morbidity of this lethal fungal infection. Treatment principles may include antifungal agents along with surgical debridement or resection. The surgically removed palate can have a devastating effect on the appearance and speech of the patient. Obturators allow patients to eat and drink without any suspicion of food entering the oroantral cavities/pharynx during mastication. This case series presented the prosthodontic rehabilitation of nine post-COVID rhinocerebral mucormycosis-infected patients with complete or partial defects.

摘要

毛霉菌病是一种在糖尿病患者中罕见的真菌感染,由于新冠病毒感染、糖尿病和大量使用皮质类固醇构成的致命三联征,现在这种感染非常常见。早期诊断和治疗可以降低这种致命真菌感染的死亡率和发病率。治疗原则可能包括使用抗真菌药物以及手术清创或切除。手术切除上颚可能会对患者的外貌和言语产生毁灭性影响。赝复体可使患者在咀嚼时进食和饮水,而无需担心食物进入口腔鼻窦腔/咽部。本病例系列介绍了9例新冠病毒感染后鼻脑型毛霉菌病导致完全或部分缺损患者的口腔修复治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cbf/10041217/d68b73a4ad4f/JFMPC-11-7476-g001.jpg

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