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毛霉菌病病史患者的颧种植体:一例报告

Zygomatic Implants in a Patient With History of Mucormycosis: A Case Report.

作者信息

Minase Dhanashree A, Sathe Seema, Borle Anjali, Mundada Bhushan P, Doshi Khushbu

机构信息

Prosthodontics, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 27;16(7):e65512. doi: 10.7759/cureus.65512. eCollection 2024 Jul.

Abstract

Exposure to mucor mold can lead to mucormycosis, a rare fungal infection with severe consequences, especially in immunocompromised individuals. The year 2020 highlighted the need for orofacial rehabilitation, presenting challenges in cases of maxillary absence. This case report details zygomatic implants, which offer a promising solution by providing stable support even in the absence of significant bone mass due to surgical excision post-COVID-19 mucormycosis. Zygomatic implants outperform traditional grafting techniques. The atrophic or resected jaws can be effectively restored with a single-piece zygomatic implant, which has the lowest rate of postoperative problems, including bone loss, mucositis, peri-implantitis, and screw loosening or fractures. In this case report, four zygomatic implants were placed in the zygomatic bone, and immediate loading was performed. Restoration of patient aesthetics, phonetics, and functional masticatory efficiency were restored.

摘要

接触毛霉菌可导致毛霉病,这是一种罕见的真菌感染,后果严重,尤其是在免疫功能低下的个体中。2020年凸显了口腔颌面修复的必要性,在上颌骨缺失的病例中带来了挑战。本病例报告详细介绍了颧骨种植体,它通过在因新冠后毛霉病手术切除导致骨量不足的情况下提供稳定支撑,提供了一个有前景的解决方案。颧骨种植体优于传统的植骨技术。萎缩或切除的颌骨可以用一体式颧骨种植体有效修复,其术后问题发生率最低,包括骨质流失、粘膜炎、种植体周围炎以及螺钉松动或骨折。在本病例报告中,在颧骨中植入了四个颧骨种植体,并进行了即刻负重。患者的美观、语音和功能性咀嚼效率均得以恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/330f/11346810/f54eb515123c/cureus-0016-00000065512-i01.jpg

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