Batwing incision for a case of bilateral fungal zygomatic osteomyelitis.
BMJ Case Rep
; 15(5)2022 May 31.
Article
in English
| MEDLINE | ID: covidwho-1874523
ABSTRACT
Zygomatic osteomyelitis is a rare occurrence due to rich collateral blood supply of bone. A man in his 30s presented with complaints of pain over bilateral cheek and pus discharge below the eye on lateral aspect. He was a known case of COVID-19 associated mucormycosis postendoscopic debridement of sinuses 3 months back. Radiology revealed bilateral destruction of zygoma with discharging sinus. Microbiological analysis confirmed aseptate hyphae in pus, and a diagnosis of bilateral fungal zygomatic osteomyelitis made. Under general anaesthesia, sequestrectomy done using bilateral lateral rhinotomy with extended Dieffenbach's approach (batwing incision). Postsurgery 3000 mg of liposomal amphotericin was administered. There was no enophthalmos or restricted eye movements postoperatively. Follow-up MRI suggested minimal inflammatory enhancement in maxillary sinus. Patient was discharged on oral antifungals.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Osteomyelitis
/
Surgical Wound
/
COVID-19
/
Mucormycosis
Type of study:
Case report
/
Cohort study
/
Diagnostic study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
Bcr-2021-247387
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