Abstract
Abstract. Introduction. COVID-19 is widely known as a disease that causes respiratory dysfunction, however, it is also associated with a mass of extrapulmonary manifestations and complications, gastrointestinal, hepatocellular complications, neurological diseases, as well as complications in the maxillofacial region. Aim. The aim of this study was to diagnose osteomyelitis of the upper jaw in post COVID-19 patients using multispiral computed tomography. Material and methods. We retrospectively evaluated radiation imaging and clinical data of 37 patients, aged 28 to 52 years with osteomyelitis of the upper jaw, who underwent COVID-19. The male sex prevailed among the patients. Results and discussion. All patients had sinusitis and ophthalmic symptoms. The pattern of anatomical lesions of the upper jaw, nasal cavity, maxillary sinus, orbit, and lattice cells was consistently observed in all patients. Conclusion. Progressive and rapid course, involvement of the cavernous sinus, vascular structures, and further upward spread (intracranial) complications may be the usual evolution of rhinophthalmocerebral mucormycosis. Multiplanar tomographic imaging shows the localization, nature, as well as relationship of the surrounding structures, helping in turn to plan the operation. However, the prognosis remains difficult, despite radical surgery and, in particular, antifungal treatment.
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