López P, Romero L, Cedeno A, Bustamante G

Language: Spanish
References: 6
Page: 76-79
PDF size: 311.32 Kb.

ABSTRACT

Introduction: mucormycosis is the second most common invasive fungal infection and is characterized by high mortality. Its treatment is oriented to a medical and surgical phase. Block resection is usually extensive, often leading to postoperative difficulties in the patient's chewing, speaking, swallowing, articulation and breathing. With such extensive surgeries, an implant-supported prosthesis is usually required, where the use of distant bony structures such as the zygomatic bone has shown satisfactory results. Objective: to describe the surgical management of a patient with a maxillectomy secondary to mucormycosis, in which a prosthesis supported by zygomatic implants was used. Case report: 75-year-old male patient who presented with a diagnosis of sequelae of maxillectomy of infrastructure due to mucormycosis. The patient was successfully taken to the operating table under balanced general anesthesia for the placement of two bilateral zygomatic implants and 1 implant in the right infraorbital rim. Conclusion: the unusual prosthetic concept supported by zygomatic implants was successful in restoring masticatory function, significantly improved speech and restored an improved contour of the lost facial profile. Evidencing extremely encouraging results that confirm the predictability of these techniques.

REFERENCES

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