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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Radiographic Involvement of Maxillofacial Region in Mucormycosis Secondary to COVID‐19 Using Magnetic Resonance Imaging: A Cross‐Sectional Observational Study

Swati Jitendra Rathod, Jitendra Kerba Rathod, Manisha Naiknaware and Rajendra Bohra
Page: 614-619 | Received 23 Feb 2024, Published online: 20 Apr 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.5.614.619

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Abstract

At the end of second wave of COVID 19, Mucormycosis was the new challenge the whole world was facing. The purpose of the study is to check anatomical involvement of maxillofacial region in Mucormycosis patients using MRI also to know and understand the severity of Mucormycosis secondary to COVID‐19.This is a cross ‐ sectional observational study. This study was conducted on 40 patients reported to the department of Radiology for MRI brain, orbit and PNS with provisional diagnosis of Mucormycosis. The radiographic involvement and commonly affected area were noted. The collected data was entered in MS Excel sheet and for analysis SPSS version 25th was used. The qualitative data was represented in frequency and percentage. Quantitative data was represented in mean and standard deviation. Out of 40 patients 28 were male and 12 were female. All the patients were in the age group of 30‐80 with the mean age 55.37±12.78 years. The Erosion was seen as 20% in medial wall of right maxillary sinus, 17.5% in medial wall of left maxillary sinus and postero‐lateral wall of right maxillary sinus each, 12.5% in Bilateral medial wall of maxillary sinus, 7.5% in inferior wall of left orbit and hard palate each. 5.0% in nasal septum, 2.5% inferior wall of right orbit, bilateral cribriform plates and bilateral inferior wall of orbit individually. The mucosal thickening was observed as 67.5% in bilateral maxillary sinus followed by 37.5% in right and 25% in left maxillary sinus, 55% in bilateral frontal sinus, 52.5% in Sphenoid sinus, 15% in nasal cavity on both side, 12.5% on left and 7.5 % on right side of nasal cavity, 12.5% in bilateral ethmoid, 5% in right and left frontal sinus each. Out of 40 patients 2 had proptosis in left eye and 1 on each right and bilateral eyes. A generalised soft tissue swelling and edema was seen on maxillofacial region. Other involvement like acute infract in left optic nerve (5%), left optic neuritis (5%), right optic neuritis (2.5%), deviated nasal septum with convexity towards right side (7.5%), left optic perineuritis (2.5%), osteonecrosis with osteomyelitis involving bilateral greater wing of sphenoid (2.5%), left zygomatic process of maxilla (2.5%), left pterygoid plate (2.5%) were also noted. the present study shows the systematic approach to study the involvement of maxillofacial region and surrounding structure. This study also helps in nature and spread of the disease.

How to cite this article:

Swati Jitendra Rathod, Jitendra Kerba Rathod, Manisha Naiknaware and Rajendra Bohra. Radiographic Involvement of Maxillofacial Region in Mucormycosis Secondary to COVID‐19 Using Magnetic Resonance Imaging: A Cross‐Sectional Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.614.619
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.614.619