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新型冠状病毒肺炎相关鼻上颌毛霉菌病的手术切除与康复:一例报告

Resection and Rehabilitation for COVID-19 Associated Rhino-Maxillary Mucormycosis: A Case Report.

作者信息

Sneha Alladi, Kumar M P Santhosh, Krishnan Murugesan, Dhasarathan Pradeep, O R Muralidoss Hemavathy

机构信息

Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Chennai, IND.

出版信息

Cureus. 2023 May 29;15(5):e39670. doi: 10.7759/cureus.39670. eCollection 2023 May.

Abstract

Often, patients with rhino-maxillary mucormycosis present with osteomyelitis and necrosis affecting the involved bone. Therefore, curative treatment involves a combination of antifungal therapy and surgical removal of the necrotic bone. In this case report, a 50-year-old female presented with pain in the right side of her face and was diagnosed with rhino-maxillary mucormycosis involving the right maxillary sinus, posterior maxilla, orbital floor, and zygomatic bone. To address the condition, a total maxillectomy of the right maxilla was performed. The post-surgical defect was packed using cotton leno-weave fabric, impregnated with soft paraffin and containing 0.5% chlorhexidine acetate dressing, which was changed every 3 day. After a six-month follow-up, satisfactory healing was observed. For, rehabilitation, a simple cast partial denture was used.

摘要

鼻上颌毛霉菌病患者常伴有骨髓炎和坏死,累及受累骨骼。因此,根治性治疗包括抗真菌治疗和手术切除坏死骨。在本病例报告中,一名50岁女性因右侧面部疼痛就诊,被诊断为鼻上颌毛霉菌病,累及右上颌窦、上颌后部、眶底和颧骨。为治疗该疾病,实施了右上颌骨全切除术。术后缺损用棉麻织物填充,浸渍软石蜡并含有0.5%醋酸氯己定敷料,每3天更换一次。经过6个月的随访,观察到愈合情况良好。康复时,使用了简单的铸造局部义齿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb10/10307985/34132fc76a97/cureus-0015-00000039670-i01.jpg

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