case_images: PMC10789507_01
case_images: (A) Clinical picture of mucormycosis over right cheek. (B) Magnetic resonance imaging showing the defect in the maxilla. (C) Midface defect after debridement. (D) Defect reconstructed with free radial artery forearm flap.
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case_images: PMC10789507_01_10-1055-s-0043-1778652-i2300031-3.jpg
case_images: FI2300031-3
case_images: After a course of 2 weeks of antifungal therapy, she underwent final debridement, and the midface defect was reconstructed with a free radial artery forearm flap forming both the medial (lining) and anterior (cover) walls of the maxilla ( Fig. 3A-D ).
case_images: PMC10789507_02
case_images: (A) Magnetic resonance imaging showing left orbital involvement. (B) Postdebridement defect. (C) Reconstruction with temporalis muscle and cheek advancement flap.
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case_images: FI2300031-4
case_images: Once the pus discharge decreased, the patient underwent temporalis muscle to fill the orbital cavity, and a cheek advancement flap was used for skin lining ( Fig. 4A-C ).
case_images: PMC10789507_03
case_images: (A) Preoperative photograph with mild swelling evident over left lower jaw. (B) Orthopantomogram showing honeycomb appearance and osteomyelitis of the right mandible. (C) Blackish discoloration of the bone with thinned-out cortex at the junction of body and ramus. (D) Defect after segmental mandibulectomy and reconstruction plate in situ. (E) Orthopantomogram showing mandible plate in situ. (F) One month follow-up after mandible reconstruction with free fibula osseous flap.
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case_images: PMC10789507_03_10-1055-s-0043-1778652-i2300031-5.jpg
case_images: FI2300031-5
case_images: After 2 weeks of intravenous therapy, he was started on oral posaconazole tablet as 300 mg BD on day 1 followed by 300 mg OD, and mandibular reconstruction with a free fibula osseous flap was done once there were no further signs of disease progression ( Fig. 5A-F ).
case_images: PMC10789507_04
case_images: (A) Postdebridement defect in left maxilla. (B). Defect after dehiscence of cheek advancement flap. (C) Median forehead flap in situ. (D) Flap after division and insetting.
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case_images: FI2300031-6
case_images: Two weeks later, the flap was divided, and the patient did well without any recurrence of mucormycosis ( Fig. 6A-D ).
case_images: PMC10789507_05
case_images: (A) Involvement of left maxilla and skin. (B) Defect in left palate after debridement. (C) Palate reconstructed with temporalis muscle. (D) Defect after dehiscence of cheek advancement flap.
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case_images: PMC10789507_05_10-1055-s-0043-1778652-i2300031-7.jpg
case_images: FI2300031-7
case_images: Later, there was a dehiscence of the suture line near the medial canthus and the patient underwent a forehead flap ( Fig. 7A-C ).