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用于新冠相关毛霉菌病患者上颌骨切除术后定制封闭式球茎中空阻塞器的改良技术：一例报告

Modified Technique to Fabricate a Definitive Closed Bulb Hollow Obturator for Maxillectomy in a Patient Following COVID-Associated Mucormycosis: A Case Report.

作者信息

Fernandes Alcina, Fernandes Grazina, Mascarenhas Kennedy, Aras Meena, Chitre Vidya

机构信息

Department of Prosthodontics and Crown and Bridge, Goa Dental College and Hospital, Panaji, IND.

出版信息

Cureus. 2024 Apr 17;16(4):e58468. doi: 10.7759/cureus.58468. eCollection 2024 Apr.

DOI:10.7759/cureus.58468
PMID:38765446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11099591/
Abstract

Immunocompromised people developed mucormycosis as a result of the COVID-19 outbreak. Antifungal medications, surgical excision of infected tissues, and therapy of underlying metabolic problems are available forms of treatment. Usually, surgery entails completely excising the affected area. The patient is at risk for nasal twang, nasal cavity leaks, and impaired masticatory function because of these anomalies. The obturator prosthesis may form an oro-nasal seal in such problems. Additionally, lowering the prosthesis weight contributes to improved stability and retention. This case report explains a novel flasking technique to lessen the prosthesis weight and a modified impression technique to capture the palatal deformity.

摘要

免疫功能低下的人群因新冠疫情暴发而患上毛霉菌病。抗真菌药物、对感染组织进行手术切除以及治疗潜在的代谢问题是现有的治疗方式。通常，手术需要完全切除受影响的区域。由于这些异常情况，患者存在鼻音、鼻腔漏液和咀嚼功能受损的风险。在这类问题中，闭孔义齿可能会形成口鼻密封。此外，减轻义齿重量有助于提高稳定性和固位力。本病例报告阐述了一种减轻义齿重量的新型装盒技术以及一种捕捉腭部畸形的改良印模技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/50cd3ee4b0d2/cureus-0016-00000058468-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/6662333775e2/cureus-0016-00000058468-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/b878ee1658b4/cureus-0016-00000058468-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/844f16e5ac1c/cureus-0016-00000058468-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/01c56bb6b736/cureus-0016-00000058468-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/72934fdeb15a/cureus-0016-00000058468-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/a1f220d57027/cureus-0016-00000058468-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/29bbd7bb5020/cureus-0016-00000058468-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/1519385bd848/cureus-0016-00000058468-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/609fcf7ec75d/cureus-0016-00000058468-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/e81c7097fb9f/cureus-0016-00000058468-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/50cd3ee4b0d2/cureus-0016-00000058468-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/6662333775e2/cureus-0016-00000058468-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/b878ee1658b4/cureus-0016-00000058468-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/844f16e5ac1c/cureus-0016-00000058468-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/01c56bb6b736/cureus-0016-00000058468-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/72934fdeb15a/cureus-0016-00000058468-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/a1f220d57027/cureus-0016-00000058468-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/29bbd7bb5020/cureus-0016-00000058468-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/1519385bd848/cureus-0016-00000058468-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/609fcf7ec75d/cureus-0016-00000058468-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/e81c7097fb9f/cureus-0016-00000058468-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b53/11099591/50cd3ee4b0d2/cureus-0016-00000058468-i11.jpg

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COVID-19 and Mucormycosis of Orofacial Region: A Scoping Review.2019冠状病毒病与口面部毛霉菌病：一项范围综述
Cureus. 2023 Apr 22;15(4):e37984. doi: 10.7759/cureus.37984. eCollection 2023 Apr.
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Sino-orbital mucormycosis in a COVID-19 patient: A case report.一名新冠肺炎患者的鼻窦眼眶毛霉菌病：病例报告
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