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Diagnostic tools in coronavirus disease 2019 associated mucormycosis – do we need three-dimensional computed tomography?

Published online by Cambridge University Press:  17 August 2022

G Gupta ,
N Shakrawal Open the ORCID record for N Shakrawal [Opens in a new window] ,
S Banthia ,
H R Nehara  and
D Chand
G Gupta
Affiliation:
Department of Otorhinolaryngology and Head–Neck Surgery, Rajasthan, India
N Shakrawal*
Affiliation:
Department of Otorhinolaryngology and Head–Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
S Banthia
Affiliation:
Department of Radiodiagnosis, Rajasthan, India
H R Nehara
Affiliation:
Department of Endocrinology, Sarder Patel Medical College, Bikaner, India
D Chand
Affiliation:
Department of Otorhinolaryngology and Head–Neck Surgery, Rajasthan, India
*
Author for correspondence: Dr Neha Shakrawal, 6th Floor, New RAK OPD Block, Department of Otorhinolaryngology and Head–Neck Surgery, All India Institute of Medical Sciences, New Delhi, India E-mail: [email protected]
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Abstract

Objective

Three-dimensional computed tomography reconstruction of the face has recently been presented as a newer diagnostic tool in coronavirus disease 2019 associated mucormycosis. This study was conducted to compare three-dimensional computed tomography reconstruction with conventional two-dimensional computed tomography in coronavirus disease 2019 associated mucormycosis.

Methods

A total of 123 mucormycosis patients underwent three-dimensional computed tomography reconstruction after a comprehensive clinical investigation. The involvement of the facial skeleton was noted.

Results

The anterior maxillary wall was most commonly involved (9.8 per cent). Involvement of the lateral maxillary wall was noted in 6.5 per cent of patients. Sixty-seven patients (54.5 per cent) underwent endoscopic surgery, 22 (17.9 per cent) underwent open surgical procedures, and 12 (9.8 per cent) had combined endoscopic and open surgical procedures. In 21 patients (17.1 per cent), open surgery was performed in the first instance based on additional three-dimensional computed tomography findings, and revision surgical procedures were avoided.

Conclusion

Three-dimensional computed tomography of the face was found to be superior in determining the extent of disease. It reduces delays in diagnosis, facilitates surgical planning and minimises the need for multiple surgical procedures.

Keywords

COVID-19MucormycosisImaging, Three-DimensionalDiagnostic Imaging
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 12 , December 2022 , pp. 1304 - 1308
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr N Shakrawal takes responsibility for the integrity of the content of the paper

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