The surge in cases of COVID‐19 in India during the second wave of the pandemic was associated with increased reporting of invasive mucormycosis post COVID‐19, especially among critically ill patients treated with steroids. The most common type of the disease observed was rhino‐orbito‐cerebral mucormycosis, with many cases showing involvement of palate and maxillary alveolar process. Management included systemic antifungal therapy and aggressive surgical debridement with maxillectomy performed in many patients. Such treatment adversely affects facial appearance, and functions such as mastication, speech and deglutition. Prosthetic rehabilitation after surgical treatment of mucormycosis is essential for the early restoration of oral function and facial esthetics. Maxillectomy often leads to oro‐antral communication and lack of supporting basal tissues, which pose difficulty in making a prosthesis. This article presents prosthetic rehabilitation of fourteen cases of post‐COVID‐19 mucormycosis treated with maxillectomy. Clinical presentation, computed tomography findings, histopathological findings and treatment received by the patients is presented. Method of fabrication of prosthesis is described. Obturator complete/partial removable dentures were fabricated for these patients with modifications of the conventional prosthetic methods to deliver a functionally stable prosthesis.
Ritesh Wadhwani and Dipti Wadhwani. Prosthetic Rehabilitation of Post‐COVID‐19 Mucormycosis Patients Treated with Maxillectomy: A Case Series.
DOI: https://doi.org/10.36478/10.59218/makrjms2024.2.263.270
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms2024.2.263.270