Facial Reconstruction of a Mucormycosis Survivor by Free Rectus Abdominis Muscle Flap, Tissue Expansion, and Ocular Prosthesis. Issue 6 (November 2016)

• Record Type: Journal Article
• Authors: Silberstein, Eldad; Krieger, Yuval; Rosenberg, Nir; Bogdanov-Berezovsky, Alexander; Shoham, Yaron; Saphier, Oshra; Pagkalos, Vasileios A.; Joshua, Ben-Zion
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 32:Issue 6(2016:Nov./Dec.)
• Publication Date: 2016-11
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000000314
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : Invasive sinonasal mucormycosis is a rare fungal infection that usually occurs in immunocompromised or diabetic patients, and it is often fatal. The authors present a case of a woman patient suffering from systemic lupus erythematosus and diabetes mellitus treated with prednisone, presenting with a rapidly progressive rhino-orbital-cerebral mucormycosis. She was successfully treated with combined intravenous antifungal therapy and radical debridement followed by complex defect reconstruction with a free vertical rectus abdominis myocutaneous flap, tissue expander, and ophthalmic prosthesis. Abstract : The authors present a case of rhino-orbital-cerebral mucormycosis that was successfully reconstructed with a free vertical rectus abdominis myocutaneous flap, tissue expander and ophthalmic prosthesis.