基于锥束计算机断层扫描结果的鼻上颌毛霉菌病新诊断标准和分级系统。

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Contemporary Clinical Dentistry Pub Date : 2023-01-01 Epub Date: 2022-11-03 DOI:10.4103/ccd.ccd_413_21
Pooja Muley, Ranjana Garg, Rajesh Jambure, Vivek Vijay Gupta, K P Mahesh, Gagandeep Thind
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引用次数: 0

摘要

背景:毛霉菌病是一种罕见的机会性真菌感染,具有快速发展和暴发性过程,最终导致死亡。诊断和治疗日益增多的病例是时代的需要。目的:研究鼻-上颌毛霉菌病(RMM)的常见影像学特征,寻找诊断标准,并根据影像学特征对疾病进行分级。背景:本研究在马哈拉施特拉邦奥兰加巴德的面部三维锥束计算机断层扫描中心进行。材料和方法:回顾性评估30名被转诊进行疑似RMM CBCT扫描的患者的CBCT扫描相关放射学数据。结果:RMM最常见的CBCT特征是牙槽骨、腭、鼻腔和颧骨的溶骨性病变以及鼻窦受累。约76.66%的患者有新冠肺炎感染史。结论:根据收集的数据,可能的鼻-上颌毛霉菌病的扫描分为三组——轻度、中度和重度。本文的目的是强调最被忽视的诊断实体CBCT及其在RMM的早期诊断、治疗和预后中的重要意义。RMM的早期诊断可以使患者免受发病率和死亡率的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A New Diagnostic Criteria and Grading System of Rhino-Maxillary Mucormycosis based on Cone Beam Computed Tomographic Findings.

A New Diagnostic Criteria and Grading System of Rhino-Maxillary Mucormycosis based on Cone Beam Computed Tomographic Findings.

A New Diagnostic Criteria and Grading System of Rhino-Maxillary Mucormycosis based on Cone Beam Computed Tomographic Findings.

A New Diagnostic Criteria and Grading System of Rhino-Maxillary Mucormycosis based on Cone Beam Computed Tomographic Findings.

Background: Mucormycosis is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. It is the need of the hour to diagnose and treat the increasing cases urgently.

Aim: The aim of this article is to study the common radiographic features of rhinomaxillary mucormycosis (RMM), find diagnostic criteria, and grade the disease according to the radiographic features.

Settings: This study was conducted at Face Three-Dimensional Cone-Beam Computed Tomography (CBCT) Center, Aurangabad, Maharashtra.

Materials and methods: CBCT scans of 30 patients who were referred for CBCT scanning of suspected RMM were retrospectively evaluated for relevant radiological data.

Results: The most common CBCT features of RMM were osteolytic lesions in alveolar bone, palate, nose and nasal cavity, and zygoma along with involvement of paranasal sinuses. About 76.66% of patients had a history of COVID-19 infection.

Conclusion: According to the collected data, the scans of probable rhinomaxillary mucormycosis were graded in three groups - mild, moderate, and severe. The goal of this article is to emphasize the most overlook diagnostic entity - CBCT and its significant importance in early diagnosis, treatment, and prognosis of RMM. Early diagnosis of RMM can save the patients from the extent of morbidity and mortality.

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来源期刊
Contemporary Clinical Dentistry
Contemporary Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.50
自引率
0.00%
发文量
52
审稿时长
23 weeks
期刊介绍: The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
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