Title : Maxillary Mucormycosis treated by Maxillectomy: A complication of Oroantral fistula 6 months post-surgery planned for Functional Endoscopic Sinus Surgery (FESS) and Palatal Finger Flap Reconstruction.
Abstract:
Introduction: Mucormycosis is an opportunistic fungal infection predominantly caused by the Rhizopus and Mucor species. The ubiquity of mucormycosis is high with poor prognosis because of the delay in diagnosis and intervention.
Case Description: A 68 year old male patient who is diabetic since the past 20 years reported with pain and ulcerations in the maxillary alveolus. Biopsy of the region revealed it to be a mucormycosis which was then operated by performing a maxillectomy. After six months of surgery, the patient reported back with oroantral fistula, which was further explored through functional endoscopic surgery and then soft tissue reconstruction was done using palatal finger flap.
Conclusion: The current case scenario signifies that through early diagnosis and intervention it is possible to achieve good prognosis and can also remarkably decrease the mortality rate.