Sharma Anshul, Godha Surbhi, Verma Jagram, Bhalot Lokesh, Gupta Yamini, Mundra R K
Department of Otorhinolaryngology, Gandhi Medical College, Bhopal, MP India.
Department of Otorhinolaryngology, M.G.M Medical College, Indore, MP India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):1667-1673. doi: 10.1007/s12070-023-04380-2. Epub 2023 Dec 16.
Rhinocerebralmucormycosis, is a progressive fungal invasion of a hard palate, paranasal sinuses, orbit, and brain. Post covid the huge number of mucor cases reported in our institute. To combat them a uniform assessment scale was needed as multiple healthcare workers were involved. Thus, a novel linear grading system on nasal endoscopy was developed for the early management of patients to prevent morbidity and mortality. A Prospective study of 650 patients in Epidemic duration from April to June 2021 in a tertiary health center, Central India. Patients subjected to Nasal Endoscopy with 0degree 4 mm Telescope and classified into 5 categories according to the severity of the disease. In a novel grading system, minimum patients were of grade 0, maximum was in Grade I. Maxillary sinus was most commonly involved. This novel grading system on nasal endoscopy makes the management of patients much easier in an epidemic, reducing human errors, morbidity, and mortality of the fulminant disease.
鼻脑型毛霉菌病是一种真菌对硬腭、鼻窦、眼眶和脑部的进行性侵袭。新冠疫情后，我们研究所报告了大量毛霉菌病例。由于涉及多名医护人员，因此需要一个统一的评估量表。于是，为了对患者进行早期管理以预防发病和死亡，开发了一种新型的鼻内镜线性分级系统。在印度中部的一家三级医疗中心对2021年4月至6月疫情期间的650名患者进行了一项前瞻性研究。患者使用0度4毫米的鼻内镜进行检查，并根据疾病严重程度分为5类。在这个新型分级系统中，0级患者最少，I级患者最多。上颌窦是最常受累的部位。这种新型的鼻内镜分级系统使疫情期间患者的管理更加容易，减少了人为错误、发病率和暴发性疾病的死亡率。
