Prosthetic rehabilitation of resected orbit in a case of mucormycosis

Kaur, Harsimran; Nanda, Aditi; Verma, Mahesh; Mutneja, Parul; Koli, Dheeraj; Bhardwaj, Smiti

doi:10.4103/jips.jips_53_18

Cited by 12 publications

(3 citation statements)

References 15 publications

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“…[ 125 ] Kaur et al . [ 126 ] designed a two-component prosthesis (conformer substructure of heat-polymerized polymethyl methacrylate and silicone superstructure) for rehabilitation of resected orbit in a case of mucormycosis. The unique design ensured the health of the underlying tissue and durability of the prosthesis by minimizing the tissue contact of silicone (prone to surface deterioration in hot climates).…”

Section: Rehabilitationmentioning

confidence: 99%

Rhino-orbito-cerebral mucormycosis and its resurgence during COVID-19 pandemic: A review

Karkhur

Soni

Chauhan

et al. 2022

Indian Journal of Ophthalmology

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This study aimed to review the current literature for epidemiology, pathogenesis, clinical spectrum and management of rhino-orbito-cerebral-mucormycosis (ROCM), especially highlighting the association between ROCM and COVID-19 disease and factors resulting in its resurgence during the pandemic. Mucormycosis is a rare, but an important emerging opportunistic fungal infection, often associated with high morbidity and mortality. ROCM is the commonest and also the most aggressive clinical form occurring in debilitated patients in conjunction with sinus or para-sinus involvement due to the propensity for contiguous spread. Recently ROCM has shown an unprecedented resurgence during the current pandemic. Reports from different parts of the world indicated an increased risk and incidence of ROCM in patients who had required hospital admission and have recovered from moderate-to-severe COVID-19 disease. A majority of mucormycosis cases have been reported from India. The presence of diabetes mellitus (DM) and use of corticosteroids for COVID-19 pneumonia were found to be the key risk factors, resulting in higher mortality. Amidst the ongoing pandemic, with the third wave already having affected most of the world, it becomes imperative to adopt a risk-based approach toward COVID-19 patients predisposed to developing ROCM. This could be based on the most recently published literature and emerging data from centers across the world. The present review intended to elucidate the causes that brought about the current spike in ROCM and the importance of its early detection and management to reduce mortality, loss of eye, and the need for mutilating debridement.

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Section: Rehabilitationmentioning

confidence: 99%

Rhino-orbito-cerebral mucormycosis and its resurgence during COVID-19 pandemic: A review

Karkhur

Soni

Chauhan

et al. 2022

Indian Journal of Ophthalmology

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“…Anophthalmia could be a consequence of carcinoma, trauma, sympathetic ophthalmic, painful blind eye, or congenital defects. [ 1 ] Surgical treatment following these clinical situations may indicate an orbital evisceration, enucleation, or exenteration. [ 2 3 ] A huge psychological impact may be a traumatizing emotional sequel to the patient resulting from such disfigurements.…”

Section: Introductionmentioning

confidence: 99%

Positioning of iris in an ocular prosthesis: A systematic review

Sathe

Pisulkar

Nimonkar

et al. 2020

J Indian Prosthodont Soc

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Aim: To evaluate different methods, techniques, and concepts documented in the literature to assess iris positioning accurately to the related dimensions needed to effectuate maxillofacial rehabilitation of ocular prosthesis. Settings and Design: This systematic review was conducted as per the PRISMA guidelines which is the most opted reporting protocol. Materials and Methods: Two electronic databases PubMed and Cochrane Library) were searched for manuscripts published from 1969 till September 30, 2019. An electronic search (of peer review restricted to English language dental literature was conducted to identify the relevant scientific article on iris positioning in maxillofacial prostheses. Two observers independently read the abstracts and selected 17 full text articles fulfilling the inclusion criteria. Statistical Analysis Used: No meta-analysis was conducted due to heterogeneity of data obtained. Results: All the 17 documented articles related to determination of the iris positioning to perform maxillofacial prosthetic rehabilitation depicting the use of a strip of plastic template, a Boley's gauge, a millimeter ruler, a pupillometer, window light, an ocular locator with fixed caliper, inverted anatomic tracings, a transparent graph grid were reviewed systematically. Conclusion: Currently, there is no evidence in the form of a systematic review of the available literature discussing the best technique available for perfectly matching the iris positioning. However, the latest techniques making use of digital technology such as digital photography, is believed to be more precise for iris positioning in the ocular prosthesis.

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“…Prosthetic rehabilitation allows fabrication of a "life-like appearance" of prosthesis with minimal surgical intervention and easy clinical surveillance of the damaged site which offers a clear advantage over surgical reconstruction. [5,6] In literature both analog and digital methods have been used to restore ocular defect. [7] The retention in definitive prosthesis made by analog method may suffer due to the inaccessibility of significant anatomic undercuts and their arbitrary blocking out.…”

mentioning

confidence: 99%

A Case Series of Prosthetic Rehabilitation of Post-COVID Rhinorbitocerebral Mucormycosis Ocular Defects: A Digital and Analog Experience

Bhargava

Raj

Gupta

et al. 2023

J. Maxillofac. Oral Surg.

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During literature search on various databases we could not find an article which presents and discusses rehabilitation of ocular defects both using digital and analog protocols, in a single article. This case series also proposes digital and analog algorithm for treating ocular Abstract Removal of a part of or the entire orbit results in facial defect, causing psychological trauma to the patient, apart from anatomic loss. This case series presents 6 clinical cases of prosthetic rehabilitation of ocular defects related to post-COVID-19 ROCM by both analog and digital workflow. The basic objective of this case series was to achieve a well retained, user-friendly, maxillofacial ocular prosthesis with esthetic accuracy. Unique size and shape of the ocular defect in each case, variety of skin tones, age range of patients and compromised neuromuscular control made each of the six cases challenging. This clinical series apart from proposing a digital & analog algorithm for rehabilitating ocular defects also illustrates analog workflow for 4 cases and digital workflow for 2 cases for fabrication of ocular prosthesis.

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Prosthetic rehabilitation of resected orbit in a case of mucormycosis

Cited by 12 publications

References 15 publications

Rhino-orbito-cerebral mucormycosis and its resurgence during COVID-19 pandemic: A review

Rhino-orbito-cerebral mucormycosis and its resurgence during COVID-19 pandemic: A review

Positioning of iris in an ocular prosthesis: A systematic review

A Case Series of Prosthetic Rehabilitation of Post-COVID Rhinorbitocerebral Mucormycosis Ocular Defects: A Digital and Analog Experience

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