Preference and grading by operating surgeons for maxillectomies in mucormycosis cases
Original research
Keywords:
COVID-19, mucormycosis, fungal sinusitisAbstract
Aim: The purpose of the present research was to assess the preference as well as grading of maxillectomies in the Mucormycosis cases by operating surgeons. Methodology: An observational study conducted among 43 cases of confirmed CAM which included 35 males and 8 females, with an average age of 56 years. The surgical approach adopted in our cases included endoscopic surgical debridement with Denker’s approach including mandatory pterygopalatine and infratemporal fossa exploration. All cases were intraoperatively scored using our designed intraoperative scoring assessment tool for mucormycosis. Postoperatively patient recovery was assessed using C reactive protein levels and weekly imaging. Results: Although an early observation in the post op period we observed higher mortality among cases reporting with high scores as per our intraoperative reporting system. At the end of 2 months of completed treatment we report 6 cases of mortality among whom 5 cases were found to have scores (>25) and one reported with a score of 18. Conclusion: This assessment helped to grade the disease severity and also gives an insight about the postoperative prognosis too.
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