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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: drnehasnmc@gmail.com
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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

Information

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

References

Parsi, K, Itgampalli, RK, Vittal, R, Kumar, A. Perineural spread of rhino-orbitocerebral mucormycosis caused by Apophysomyces elegans. Ann Indian Acad Neurol 2013;16:414–17CrossRefGoogle ScholarPubMed
Asrani, P, Eapen, MS, Hassan, MI, Sohal, SS. Implications of the second wave of COVID-19 in India. Lancet Respir Med 2021;9:e93–410.1016/S2213-2600(21)00312-XCrossRefGoogle ScholarPubMed
Silverman, CS, Mancuso, AA. Periantral soft-tissue infiltration and its relevance to the early detection of invasive fungal sinusitis: CT and MR findings. AJNR Am J Neuroradiol 1998;19:321–5Google Scholar
Calhoun, PS, Kuszyk, BS, Heath, DG, Carley, JC, Fishman, EK. Three-dimensional volume rendering of spiral CT data: theory and method. Radiographics 1999;19:745–64CrossRefGoogle ScholarPubMed
Chuang, MT, Chiang, IC, Liu, GC, Lin, WC. Multidetector row CT demonstration of inner and middle ear structures. Clin Anat 2006;19:337–44CrossRefGoogle ScholarPubMed
Tanrikulu, R, Erol, B. Comparison of computed tomography with conventional radiography for midfacial fractures. Dentomaxillofac Radiol 2001;30:141–6CrossRefGoogle ScholarPubMed
Gillespie, JE, Isherwood, I, Barker, GR, Quayle, AA. Three dimensional reformations of computed tomography in the assessment of facial trauma. Clin Radiol 1987;38:523–6CrossRefGoogle ScholarPubMed
Frame, JW, Wake, MJ. Evaluation of maxillofacial injuries by use of computed tomography. J Oral Maxillofac Surg 1982;40:482–6CrossRefGoogle Scholar
Singh, AK, Singh, R, Joshi, SR, Misra, A. Mucormycosis in COVID-19: a systematic review of cases reported worldwide and in India. Diabetes Metab Syndr 2021;15:102146CrossRefGoogle ScholarPubMed
Palejwala, SK, Zangeneh, TT, Goldstein, SA, Lemole, GM. An aggressive multidisciplinary approach reduces mortality in rhinocerebral mucormycosis. Surg Neurol Int 2016;7:61CrossRefGoogle ScholarPubMed
Ram, MS, Joshi, M, Debnath, J, Khanna, SK. 3 dimensional CT. Med J Armed Forces India 1998;54:239–4210.1016/S0377-1237(17)30553-1CrossRefGoogle ScholarPubMed
Fox, LA, Vannier, MW, West, OC, Wilson, AJ, Baran, GA, Pilgram, TK. Diagnostic performance of CT, MPR and 3DCT imaging in maxillofacial trauma. Comput Med Imaging Graph 1995;19:385–95CrossRefGoogle ScholarPubMed
Dos Santos, DT, Costa e Silva, AP, Vannier, MW, Cavalcanti, MG. Validity of multislice computerized tomography for diagnosis of maxillofacial fractures using an independent workstation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:715–2010.1016/j.tripleo.2004.09.012CrossRefGoogle ScholarPubMed