Management and Maxillofacial Rehabilitation of COVID 19 associated Mucormycosis

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Authors

  • Aishwarya Chatterjee
     Department of Surgical Oncology, SMS Medical College and Hospital, Jaipur – 302004, Rajasthan ,IN
  • Sudhir Bhandari
     Department of Medicine, SMS Medical College and Hospital, Jaipur – 302004, Rajasthan ,IN
  • Satish Jain
     Jain ENT Hospital and Research Center, Jaipur – 302015, Rajasthan ,IN
  • Mohnish Grover
     Department of ENT, SMS Medical College and Hospital, Jaipur, Rajasthan ,IN
  • Debopriya Chatterjee
     Department of Periodontics, RUHS College of Dental Sciences, Jaipur – 302004, Rajasthan ,IN
  • Subrata Banerjee
     Department of Medicine, SMS Medical College and Hospital, Jaipur – 302004, Rajasthan ,IN

DOI:

https://doi.org/10.18311/jpfa/2022/30488

Keywords:

COVID-19, Coronavirus Associated Mucormycosis, Mucorrmycosis, Maxillofacial Prosthesis, Obturator, Silicone Prosthesis

Abstract

Objectives: To study and present a management protocol formulated to treat coronavirus disease-associated invasive
fungal sinusitis (mucormycosis) (CAM) and related defects. Methods: A prospective interventional study was conducted
at a tertiary care centre over three months, involving patients with mucormycosis of the paranasal sinuses suffering from
or having a history of Coronavirus Disease infection (COVID-19) who underwent debridement surgery. A protocol was
formulated incorporating all the departments involved in the management of post-COVID-19 Associated Mucormycosis
(CAM) patients. A separate protocol for early prosthetic rehabilitation was also developed. Results: Twenty patients
underwent surgical and medical intervention along with prosthetic rehabilitation for CAM. All of the patients were postCOVID-19 infected and had developed acute symptoms. The maxillary sinus was affected in all these patients and 25% of
the patients had involvement of the orbit along with the maxillary sinus. All patients had been administered steroids during
the treatment for COVID-19-associated illness. Infrastructure maxillectomy of the right side was done in 35% of patients,
bilateral maxillectomy was done in 30% of patients, and two patients underwent infrastructure maxillectomy and orbital
exenteration of the right side. Six patients received a surgical obturator inserted on the second-day post-maxillectomy, 8
patients received an intermediate obturator inserted on the 10th-12th day post-maxillectomy and 6 patients received a
silicone obturator inserted on the 14th-18th day after bilateral maxillectomy. Conclusions: Early management, prompt
treatment and post-operative comprehensive rehabilitation towards an optimum Quality of Life (QOL) can be achieved for
good prognosis in patients affected by CAM. The prosthetic rehabilitation protocol provided prosthesis earlier and faster
to the patients that improved their QOL.

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Published

2022-12-21

How to Cite

Chatterjee, A., Bhandari, S., Jain, S., Grover, M., Chatterjee, D., & Banerjee, S. (2022). Management and Maxillofacial Rehabilitation of COVID 19 associated Mucormycosis. Journal of Pierre Fauchard Academy (India Section), 126–134. https://doi.org/10.18311/jpfa/2022/30488

Issue

Volume 36, Issue 4, December 2022

Section

Case Report

License

All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).

 

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