ABSTRACT
Rhino-sinusal mucormycosis is an acute invasive fungal infection rarely encountered in the clinical setting, occurring in severe immunosuppressed patients. However, in patients suffering from COVID-19 disease a dramatic increase in the incidence of mucormycosis has been recorded. The aim of the study is to discuss the MRI findings of patients with COVID-19 associated mucormycosis. This is a retrospective review of 10 hospitalized and operated patients in three Otolaryngologic Departments between the 1st of February 2021 and the 30th of October 2021. All patients presented nasal mucormycosis, histologically verified along with documented SARS-CoV-2 positive RT-PCR test. The sinus involvement, extra sinus spread and peri-sinus invasion were documented in all patients. The correlation between MRI and intra-operative findings was also assessed. The black turbinate sign and peri-antral soft tissue infiltration are early MRI signs characteristic of mucormycosis. Moreoever, MRI has a significantly high positive predictive value for intra-operative findings in COVID-19 associated mucormycosis.
ABSTRACT
The management of orbital fractures is one of the most interesting and difficult areas in facial trauma. The consequences of an orbital fracture are sometimes dramatic. They include varying types of defects from a loss of vision to diplopia, loss of an eye, epiphora, a disturbing loss of facial sensation, or even an unacceptable appearance of the eye and the hard and soft tissues around it. The controversies surrounding orbital fractures, and orbital floor fractures in particular include the following: the timing of primary surgery (early or late), bone grafting versus alloplastic materials, the management and prevention of diplopia, the prevention of enophtalmos, the management of infraorbital nerve numbness or dysesthesia.
