上颌骨颅内粘液瘤病后的修复康复--24 个月随访病例报告

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摘要

在 2021 年 4 月的 COVID-19 第二波中,SARS-CoV2 出现了一种名为 B.1.617 的新变种,导致了粘孢子菌病。吸入、摄入真菌孢子或真菌孢子污染溃疡粘膜会导致感染,并引发粘孢子菌病。目的:强调口腔粘孢子菌病的复杂病例如何因其与其他牙周疾病相似的临床表现而被误诊,以及使用确定性义齿修复手术缺损的益处,通过恢复口腔功能和美观提高生活质量。病例报告:一名 35 岁的女性,主诉上门牙区域疼痛、流脓、活动度大,已持续 2 个月,面中部肿胀。双侧颧部和眶下区皮肤变黑、肿胀并伴有触痛,右眼有眼睑外翻和视力模糊,右鼻孔有分泌物。她的上颌切牙和前磨牙区附着龈上有多个脓肿,探查深度≤4毫米,有活动度。结论精确诊断是对任何疾病进行具体治疗的先决条件。治疗通常需要进行大范围的手术切除,导致面部变形、咀嚼、吞咽和言语问题。重要的是,要借助闭锁器矫正这些患者的缺陷,改善他们的生活方式,使其得到康复。
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Prosthetic Rehabilitation of Post Covid Mucormycosis of Maxilla with Definitive Obturator Prosthesis- A 24 Month Follow Up Case Report
The second wave of COVID-19 in April 2021 witnessed a new mutated variant of SARS-CoV2 known as B.1.617 resulting in Mucormycosis. Inhalation, ingestion, or contamination of ulcerated mucosa by fungal spores results in infection and cause Mucormycosis. Objective: To highlight how a complex case of oral mucormycosis can be misdiagnosed due to its similar clinical presentations with other periodontal diseases and benefits of prosthetic rehabilitation of surgical defects with definitive obturator which improves the quality of life by restoring oral function and aesthetics. Case report: A 35-year-old female reported with chief complaint of pain, pus and mobility in upper front teeth region of 2 months and swelling of mid-face. Darkening of skin, swelling with tenderness over bilateral malar- infraorbital regions with epiphora and blurred vision in right eye and discharge from right nostril. She had multiple abscess in attached gingiva in incisor and premolar region of maxilla having probing depths ≤ 4mm with mobility. Conclusion: A precise diagnosis is prerequisite to specific treatment of any disease. Treatment often requires an extensive surgical resection causing facial deformation, masticatory, swallowing and speech problems. It is important to rehabilitate these patients by correcting the defects with the help of obturators and improve their lifestyle.
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