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毛霉菌病切除术后采用定制种植体修复获得性上颌骨缺损:病例报告

Rehabilitation of Acquired Maxillary Defect With Patient-Specific Implants Post-mucormycosis Resection: A Case Report.

作者信息

Saxena Deepesh, Pahwa Avi, Kumar Ayush

机构信息

Department of Prosthodontics and Crown and Bridge, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, IND.

Department of Prosthodontics and Implantology, Clove Dental Clinic, Bangalore, IND.

出版信息

Cureus. 2024 Oct 3;16(10):e70784. doi: 10.7759/cureus.70784. eCollection 2024 Oct.

Abstract

The outbreak of COVID-19 swept massive masses causing rhinocerebral mucormycosis, a fatal mycotic infection, and high mortality among humans. ​It affects individuals with weakened immune systems, resulting in severe ulcers on the palate or perforation of the palate, accompanied by blackish necrotic tissue and exposure of underlying bone.​ Some of the key symptoms include rhinorrhea, facial swelling, pain in the orofacial region, varying degrees of fever, headaches, blurred vision due to proptosis, and involvement of the contents of the orbit. The impairment is enormous and thus needs a surgical resection of the palate and associated structures, leaving the patient with both compromised function and psychological impairment. This case report presents a new digital technique for the rehabilitation of acquired maxillary defects with patient-specific implants.

摘要

新型冠状病毒肺炎(COVID-19)的爆发席卷了大量人群,引发了鼻脑毛霉菌病,这是一种致命的真菌感染,在人类中死亡率很高。它影响免疫系统较弱的个体,导致腭部严重溃疡或腭部穿孔,伴有黑色坏死组织和深层骨骼暴露。一些关键症状包括流鼻涕、面部肿胀、口面部区域疼痛、不同程度的发热、头痛、由于眼球突出导致的视力模糊以及眼眶内容物受累。这种损害非常严重,因此需要对腭部及相关结构进行手术切除,这会使患者的功能和心理都受到损害。本病例报告介绍了一种利用定制种植体修复后天性上颌骨缺损的新数字技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c35f/11531353/a806dc9b1098/cureus-0016-00000070784-i01.jpg

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