To determine the efficacy of topical antiischemic drug therapy in the salvage of failing, randompattern skin flaps.

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Cutan eous muco n nycosis is an uncomnion, life-t hreatening, opportunistic fun gal infe ction that is a distin ctly different entity from the more frequent alth ough stiil IIIl COlllmOIl rhinocerebral fo rm that is better known to otolaryngologists. We describe what to our knowledge is the only reported case ofcutaneous mu corm ycosis ofthe fa ce with parotid gland invo lvetnent, which occurred in a 56-year-old man. The diagnosis was established by tissue biopsy. The patient was treat ed with antifunga l tnedications and wide local debridement, including a total parotidectomy with sacrifice of the inferior division of the fac ial nerve. At the 2-yearfollow-lIp, he rema inedfree of disea se. Familiarity with the risk fa ctors associat ed with the developm ent of cutaneous muconnycosis is critica l to detem üning the needfor early tissue biopsy to confi rm the diagn osis. Generally favora ble clinical outcomes are associat ed with prompt and aggressive medi cal and surgical therapy.

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