Restoring Oral Function: A Case Report on Prosthodontic Rehabilitation with a Hollow Bulb Obturator for a Post-maxillectomy Patient Following COVID Mucormycosis
Sugandha Malhotra, Anu Girdhar, Gagandeep K Chahal, Jaspinder S Gill, Neha Ahuja, Komalbir Kaur
Citation Information :
Malhotra S, Girdhar A, Chahal GK, Gill JS, Ahuja N, Kaur K. Restoring Oral Function: A Case Report on Prosthodontic Rehabilitation with a Hollow Bulb Obturator for a Post-maxillectomy Patient Following COVID Mucormycosis. 2024; 12 (2):111-114.
Mucormycosis is a rarely seen but potentially fatal fungal infection attributed to coronavirus disease-2019 (COVID-19). It can result in severe tissue destruction and deformity in various anatomical regions, particularly the maxillofacial area. This article illustrates the case of a patient who underwent a left partial maxillectomy due to rhino-orbital-cerebral mucormycosis following the COVID-19 infection. A hollow-bulb definitive obturator, an economical and practical option for prosthodontics restoration of acquired maxillary defects, rehabilitated the patient. The article explores the clinical manifestations, diagnosis, management, and outcomes of the case, as well as the implications for clinical practice. It underscores the importance of multidisciplinary care and individualized intervention for patients with maxillofacial defects caused by mucormycosis.
Bhattacharyya A, Sarma P, Kaur H, et al. COVID-19–associated rhino-orbital-cerebral mucormycosis: A systematic review, meta-analysis, and meta-regression analysis. Indian J Pharmacol 2021;53(6):499–510. DOI: 10.4103/ijp.ijp_839_21.
Rathee M, Divakar S, Jain P, et al. Magnet-retained closed bulb hollow obturator and orbital prosthesis for patient with maxillectomy and orbital exenteration following COVID-associated mucormycosis. Niger Postgrad Med J 2023;30(2):175–179. DOI: 10.4103/npmj.npmj_337_22.
Bhanushali P, Katge F, Deshpande S, et al. COVID-19: Changing trends and its impact on future of dentistry. Int J Dent 2020;2020:8817424. DOI: 10.1155/2020/8817424.
Varshney M, Saxena A, Binnani N, et al. Clinicopathological association of mucormycosis in COVID 19 pandemic. Indian J Pathol Microbiol 2023;66(1):101–105. DOI: 10.4103/ijpm.ijpm_699_21.
Chakrabarti A, Singh R. Mucormycosis in India: Unique features. Mycoses 2014;57 Suppl 3:85–90. DOI: 10.1111/myc.12243.
Chander J. Textbook of medical mycology. Delhi: JP Medical Publishers Pvt. Ltd; 2017. pp. 554–597.
Parab MM, Aras MA, Chitre V. Technique of fabrication of definitive hollow obturator for partial maxillectomy patient. Int J Prosthodont Restor Dent 2011;7(1):38–41. DOI: 10.5005/jp-journals-10019- 1174.
Punjabi AR, Mistry G, Shetty O, et al. Maxillary hollow-bulb obturator: A paradigm shift. J Indian Prosthodont Soc 2019;19(1):74–78. DOI: 10.4103/jips.jips_181_18.
Dhingra PL, Dhingra S. Diseases of Ear, Nose and Throat-eBook. Elsevier Health Sciences; 2017. pp. 159–449.
Nithyanandam S, Jacob MS, Battu RR, et al. Rhino-orbito-cerebral mucormycosis. A retrospective analysis of clinical features and treatment outcomes. Indian J Ophthalmol 2003;51(3):231–236. PMID: 14601848.
Lewis RE, Kontoyiannis DP. Epidemiology and treatment of mucormycosis. Future Microbiol 2013;8(9):1163–1175. DOI: 10.2217/fmb.13.78.
Gomes MZ, Lewis RE, Kontoyiannis DP. Mucormycosis caused by unusual mucormycetes, non-Rhizopus, -Mucor, and -Lichtheimia species. Clin Microbiol Rev 2011;24(2):411–445. DOI: 10.1128/CMR.00056-10.
Pana ZD, Seidel D, Skiada A, et al. Invasive mucormycosis in children: An epidemiologic study in European and non-European countries based on two registries. BMC Infect Dis 2016;16(1):667. DOI: 10.1186/s12879-016-2005-1.
Pal R, Singh B, Bhadada SK, et al. COVID-19-associated mucormycosis: An updated systematic review of literature. Mycoses 2021;64(12): 1452–1459. DOI: 10.1111/myc.13338.
Mohamed Usman JA, Ayappan A, Ganapathy D, et al. Oromaxillary prosthetic rehabilitation of a maxillectomy patient using a magnet retained two-piece hollow bulb definitive obturator; a clinical report. Case Rep Dent 2013;2013:190180. DOI: 10.1155/2013/190180.
