Endoscopic eyebrow-eyelid sparing orbital exentration in mucormycosis
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20210695Keywords:
Endoscopic, Exenteration, Mucormycosis, High resolution, OrbitalAbstract
The intra-vascular invasion progressively halts the blood flow in the arterial distributaries and the venous tributaries and finally a “blue black”, wet gangrenous region is noted. Later the underlying bone too becomes fragile and crumbles off. Removal of necrotic debris remains the main stay of management. Removal of foci of infection, the orbital soft tissues utilizing high resolution endoscopic modality is elaborated upon.
References
Viterbo S, Fasolis M, Garzino-Demo P, Griffa A, Boffano P, Iaquinta C, et al. Management and outcomes of three cases of rhino-cerebral mucormycosis. Oral Surg. 2011;112:69-74.
Kim J, Fortson JK, Cook HE. A fatal outcome from rhino-cerebral mucormycosis after dental extractions: a case report. J Oral Maxillofac Surg. 2001;59:693-7.
Pinto ME, Manrique HA, Guevara X, Acosta M, Villena JE, Solis J. Hyperglycemic hyperosmolar state and rhino-orbital mucormycosis. Diabetes Res Clin Pract. 2011;91:37-9.
Zaoli G, Motta G. La chirurgiaricostruttivanelcancrodellatesta e del collo. Padova: PiccinEditore. 1978.
Radici M, Bicciolo G, Palma O, Bozza F. Il massicciofacciale. In: De Campora E, Marzetti F, editors. La chirurgiaoncologicadellatesta e del collo. Pisa: PaciniEditore. 1996;345-81.
Yeatts RP. The esthetics of orbital exenteration. Am J Ophthalmol. 2005;139:152-3.
Honavar SG, Rao R. Enucleation and Exenteration. In Surgical Ophthalmic Oncology. Springer, Cham. 2019;131-9.
Batra PS, Lanza DC. Endoscopic power-assisted orbital exenteration. Am J Rhinol. 2005;19(3):297-301.
Chepeha DB, Moyer JS, Bradford CR, Prince ME, Marentette L, Teknos TN. Osseocutaneous radial forearm free tissue transfer for repair of complex midfacial defects. Arch Otolaryngol Head Neck Surg. 2005;131:513-7.
Ariyan S. The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg. 1979;63:73-81.
Cameron M, Gilbert PM, Mulhern MG, Sneddon KJ. Synchronous reconstruction of the exenterated orbit with a pericranial flap, skin graft and osseointegrated implants. Orbit. 2005;24:153-8.