Customised Patient-Specific Implants in Maxillofacial Reconstruction After Mucormycosis: A Case Series.

Introduction: Patient-specific implants(psi) manufactured using 3D printing and CAD-CAM technology have played a major role in the rehabilitation of complex maxillofacial defects caused due to mucormycosis also known as the black fungus, which is a rare fungal infection that originates as a result of inhalation of its filamentous hyphal form.

Methods: In this unique case series, we report six cases of complex maxillofacial defects caused due to mucormycosis managed by patient-specific implants, in Hyderabad. These patients had undergone either partial or total maxillectomy after being affected by mucormycosis and were disease-free clinically and radiographically for 6 or more months post-resection and were rehabilitated using patient-specific zygoma implants. All the implants and designs were standardized to achieve optimal functionality. The dental implant component was integrated into the PSI to achieve immediate postoperative dental rehabilitation.

Conclusion: This case series shows a new era of reconstruction other than the old standardised method of using allografts for reconstruction in the maxillofacial region.