MAXILLECTOMIES AND ORBITAL EXENTERATIONS IN COVID-19 PATIENTS WITH MUCORMYCOSIS – OUR EXPERIENCE WITH RESECTIONS, RECONSTRUCTION AND THEIR OUTCOMES

Abstract

Background: Infection causes reduced immunity and increased susceptibility to Mucormycosis. 
Mucorales invade blood vessels, resulting in hemorrhage and thrombosis of blood vessels and tissue 
necrosis. Rhino-orbito-cerebral form is the frequent type with necrosis of tissues in nasal mucosa, nasal 
septum, the maxilla, the ethmoids, the orbit and contents, sphenoid sinuses, and Intracerebral extension 
through cavernous sinuses with thrombosis. The current study aimed to determine the pattern of Mucor 
infections, the type and extent of maxillary and other resections, and the role of primary flap cover in 
patients with rhino-orbital Mucormycosis.