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Vol. 66. Issue 6.
Pages 348-352 (November - December 2015)
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Vol. 66. Issue 6.
Pages 348-352 (November - December 2015)
Brief communication
DOI: 10.1016/j.otoeng.2015.01.002
Rhino-Orbito-Cerebral Mucormycosis. Management Strategies to Avoid or Limit Intracraneal Affection and Improve Survival
Manejo de la mucormicosis rino-orbito-cerebral. Estrategias para evitar o limitar afección intracraneal y mejorar la supervivencia
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Olga Plowes Hernández
Corresponding author
draplowes@gmail.com

Corresponding author.
, Héctor M. Prado Calleros, Galo Santiago Soberón Marmissolle Daguerre, Andrés Sadek González
División de Otorrinolaringología y Cirugía de Cabeza y Cuello, Hospital General “Dr. Manuel Gea González”, Mexico City, Mexico
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Table 1. Clinical Presentation of Patients With Rhino-Orbital Mucormycosis.
Abstract

Mucormycosis is a rare opportunistic infection. The aim of the study was to review the cases presented in our department with rhino-orbital mucormycosis as well as to describe the clinical protocol, diagnosis and therapy used in these patients.

We conducted a retrospective, longitudinal, descriptive study, in which we evaluated the records of patients with rhino-orbital mucormycosis in the period from January to October 2013.

We found 5 cases. Pterigomaxillary fossa disease was found in 100% of our patients. Medical and surgical treatment performed early by extensive endoscopic debridement (including debridement and resection of pterygomaxillary fossa) and orbital exenteration in patients presenting with orbitary apex syndrome in conjunction with the ophthalmology department of our hospital, with excellent results in the survival of our patients (all patients survived).

Keywords:
Rhino-orbito-cerebral mucormycosis
Invasive fungal rhinosinusitis
Resumen

La mucormicosis es una infección rara y oportunista. El objetivo del estudio fue revisar los casos presentados en nuestro servicio con mucormicosis rino-orbitaria y describir el protocolo clínico, diagnóstico y terapéutico empleado en estos pacientes.

Se realizó un estudio retrospectivo, longitudinal, descriptivo, en el que se evaluaron expedientes de pacientes con mucormicosis rino-orbitaria del periodo de enero a octubre de 2013.

Se encontraron 5 casos, con afección de fosa pterigomaxilar en el 100% de nuestros pacientes. Se realizó tratamiento médico y quirúrgico temprano mediante desbridamiento extenso endoscópico (incluyendo desbridamiento y resección de fosa pterigomaxilar) y exenteración orbitaria a los pacientes que se presentaron con síndrome de ápex orbitario en conjunto con el servicio de oftalmología de nuestro hospital, obteniendo excelentes resultados en la supervivencia (100% de supervivencia).

Palabras clave:
Mucormicosis rino-orbito-cerebral
Rinosinusitis micótica invasiva

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