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Invasive fungal co-infections with COVID-19 are currently being reported at an alarming rate. Our study explores the importance of early identification of the disease, probable etiopathogenesis, clinical and radiological features and a treatment protocol for covid-19 associated fungal osteomyelitis of jaws and sinuses (CAFOJS). A one-year prospective study from June 2020 to May 2021 was conducted among CAFOJS diagnosed patients in a tertiary care centre in South India. Demographic details, COVID-19 infection and treatment history, time taken for initiation of symptoms after COVID-19 diagnosis, medical history, clinical features were recorded. All the patients were managed with a standard diagnostic and intervention protocol including pre-operative and post-operative administration of Inj. Amphotericin B 50 mg (liposomal) and early aggressive surgical debridement. Thirty-nine (78%) patients were diagnosed with CAFOJS out of 50 osteomyelitis patients reported to our centre. 32 patients gave history of diabetes (82%) and 3 patients (8%) were diagnosed as diabetic on reporting to us. 21 patients (54%) patients were known to receive steroids during the COVID-19 treatment. Sole existence of Mucorales spp. was seen in 30 patients (77%), Aspergillus fumigatus in 2 patients (5%), Curvularia spp. in 2 patients (5%). Concomitant existence of Mucorales and Aspergillus fumigatus was reported in two patients (5%) and Candida albicans in 3 patients (8%). Patients underwent treatment with standard protocol and no recurrence noted. CAFOJS is a clinical entity with aggressive presentation and warrants early diagnosis and treatment.

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The presence of a sialolith is one of the most common diseases of salivary gland. It is relatively common in submandibular salivary glands and its duct. This case report is of a patient who presented at our unit with a history of severe pain and swelling on floor of the mouth, which was clinically and radiographically diagnosed as a sialolith. The diagnostic and treatment protocol in managing a patient with a giant sialolith is enumerated in this manuscript.

Objective: Fractures of orbital rims are common and restoration of these fractures back to its normal anatomic form is essential to maintain the function and aesthetics of the eyes. Low profile miniplates are the rigid fixation device of choice for such fractures. But in case of sagittal and grossly displaced fractures of orbital rims it is difficult to achieve stability by using miniplate osteosynthesis. The low profile miniplates may not be able to withstand the forces to reduce this kind if grossly displaced fractures, another stable option needs to be considered in these situations. Case Presentation: This case report presents a simple and effective technique of reduction and fixation of an oblique fracture of infraorbital rim fracture using lag screw principle. A standard titanium screw of 2 mm diameter and 10 mm length is being used in the described technique for stable fixation of fractured segments. Conclusion: The technique is simple, hardware’s are easily available and can be practised in emergency circumstances where newer advanced technologies are not available.