Functional Endoscopic Sinus Surgery and Recurrence of Post-COVID Mucormycosis
- 11.10.2022
- COVID-19
- Clinical Paper
Erschienen in:
- Verfasst von
- B. M. Rudagi
- Jay Goyal
- Chinmayee Palande
- Prachi Patil
- Erschienen in
- Journal of Maxillofacial and Oral Surgery | Ausgabe 5/2024
Abstract
Purpose
To evaluate the value and limitation of functional endoscopic sinus surgery alone for the management of post-COVID mucormycosis and need for adjunctive invasive procedure.
Materials and Methods
This is a clinical observational study that included a total of 17 patients who underwent FESS for post-COVID mucormycosis from April 2021 to May 2021. These patients reported to our institute with no improvement in their symptoms post-FESS from June 2021 to July 2021. Aggressive Surgical debridement of the involved sinuses, removal of surrounding necrotic bone and orbital exenteration (wherever necessary) was done in these patients. A regular follow-up till six months was done for every patient. Sixteen out of 17 patients did not report with any fresh complaint or recurrence.
Results
The study included male and female in ratio of 12:5, with a mean age of 62.5 ± 7.7 years (range: 50–75 years). These patients underwent functional endoscopic sinus surgery, one to two months before reporting to our institute. Post-FESS, there was no improvement in the symptoms. All these patients were given systemic antifungal treatment post-operatively. The specimen was sent for histopathological as well as microbiological examination. All the FESS operated patients required a secondary more aggressive surgical intervention.
Conclusion
Post-COVID mucormycosis is an aggressive fungal infection, for which FESS proves inadequate. It requires an aggressive surgical debridement of the necrotic bone along with the debridement of the sinuses.
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- Titel
- Functional Endoscopic Sinus Surgery and Recurrence of Post-COVID Mucormycosis
- Verfasst von
-
B. M. Rudagi
Jay Goyal
Chinmayee Palande
Prachi Patil
- Publikationsdatum
- 11.10.2022
- Verlag
- Springer India
- Schlagwort
- COVID-19
- Erschienen in
-
Journal of Maxillofacial and Oral Surgery / Ausgabe 5/2024
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X - DOI
- https://doi.org/10.1007/s12663-022-01810-6
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