Case Report


A successfully rehabilitated post-mucormycosis maxillary defect with guided quad-zygomatic implants: A case report

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1 Oral and Maxillofacial Surgeon and Implantologist, Managing Director, Saritha Implant’s and Aesthetic Dental Clinic, Sainikpuri, Hyderabad, Telangana, India

2 Oral and Maxillofacial Surgeon and Implantologist, Managing Director, Dinesh’s Dental Paradise, Hyderabad, Telangana, India; Consultant Oral Surgeon at KIMS-Sunshine Hospital, Hyderabad, Telangana, India

3 Periodontist and Oral Implantologist, Private Practitioner, Saritha Dental Clinic, Sainikpuri, Hyderabad, Telangana, India

4 Prosthodontist, Consultant Prosthodontist at Saritha Dental Clinic, Hyderabad, Telangana, India

5 Prosthodontist, Private Practitioner, Saritha Dental Clinic, Sainikpuri, Hyderabad, Telangana, India

6 Dental Surgeon, Managing Director, Saritha Dental Clinic, Sainikpuri, Hyderabad

Address correspondence to:

Geyasri Vinnakota

Saritha Dental Clinic, Sainikpuri, Hyderabad, Telangana 500062,

India

Message to Corresponding Author


Article ID: 101429Z01AC2023

doi: 10.5348/101429Z01AC2023CR

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How to cite this article

Chakravarthy A, Sharma D, Vinnakota G, Ramanujam R, Chakrabarti S, Reddy D. A successfully rehabilitated post-mucormycosis maxillary defect with guided quad-zygomatic implants: A case report. Int J Case Rep Images 2023;14(2):146–154.

ABSTRACT


Introduction: Mucormycosis infection has received occasional attention because of the low number of cases in comparison with other frequent infections. With the emergence of the SARS-CoV-2 disease, the incidence of fungal infections like mucormycosis has increased. In mucormycosis, after surgical debridement, the defects that result are different from other maxillary defects. In terms of functional and aesthetic rehabilitation there are several treatment options for patients with maxillectomy defects. Amidst all, zygomatic implants are more favorable and viable solution for the above-mentioned defects. Since there is a scarcity in literature on the use of zygomatic implants in such cases, we presented a case report using the utmost advantage of these implants in rehabilitation of maxillary defects.

Case Report: In the present case report, a 38-year-old male patient presented with an absence of the maxillary alveolar bone and anterior nasal spine and minimal presence of hard palate. Such type of maxillary defect following mucormycosis was managed with quad zygomatic implants with computer-guided approach.

Conclusion: Thus, the author concluded through this case report that a severe maxillectomy defects can be managed well with the zygomatic implants. In the present article, the author preferred to perform under guide in order to avoid errors while placement of implants. Hence, proper diagnosis with definitive surgical approach can help in achieving precise treatment outcome and establishing patient’s self-esteem.

Keywords: Maxillary rehabilitation, Maxillectomy defects, Mucormycosis, Post-mucormycosis maxillary defect, Quad zygoma, Zygomatic implant guided surgery

SUPPORTING INFORMATION


Acknowledgments

I would like to express and acknowledge my gratitude to my father Dr. Ravindra. I would also like to extend my sincere gratitude to Dr. Gunaseelan, Dr. Nithin Ahuja, and Dr. Johnson Raja.

Author Contributions

Akash Chakravarthy - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Dinesh Sharma - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Geyasri Vinnakota - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Racheeta Ramanujam - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sulagna Chakrabarti - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Deepika Reddy - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2023 Akash Chakravarthy et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.