Surgical approaches in Rhino-orbito-cerebral Mucormycosis

Abstract

Mucormycosis is an opportunistic infection which is caused by fungus of the order Mucorales most common one is Rhizopus oryzae. These infections are more common in patients which are suffering from diabetes mellitus, malignancy, burn, severe trauma, malnutrition, renal failure, prolong neutropenia, immunosuppressed, long term steroid therapy or immunosuppressive therapy, hematopoietic stem cell transplant and solid organ transplant recipients. Patients with serious illness are 10 times more prone to develop bacterial or fungal secondary infection than secondary viral infection. Commonest form of presentation of Rhino-orbito-cerebral mucormycosis dental pain4, dental loosening, orbital pain, facial numbness, conjunctival suffusion, diminution of vision to complete ophthalmoplegia, blindness, cavernous sinus thrombosis, multiple cranial nerve palsies, edema of eyelids orbital inflammation blepharoptosis, proptosis, acute ocular motility changes, headache and acute vision loss. Management of mucormycosis comprises of medical and surgical management. Various surgical management are explained.