Reconstruction of Nasal Deformity Resulting from Mucormycosis Using a Chin Silicone Implant

Abstract

Summary: The clinical manifestations of mucormycosis vary depending on the location of the infection. In general, sepsis begins within the oral cavity or nose and then spreads to the central nervous system through the eyes. It is typically seen in immunocompromised patients, including those who have been exposed to high doses of cortisone, such as corona virus disease 2019 patients. The infection can lead to severe destruction of the bones of the palate, nose, and maxillary and sinusoid areas. Treatment may require both medical and surgical intervention. In the secondary stage of recovery from mucormycosis, various methods of reconstructive surgery for the external nasal structure can be used. To my knowledge, this is the first case that compares to secondary nasal restoration. A former patient with mucormycosis was treated using an autologous bone graft from the ilium, and after 2 years, the restoration was done using a silicone implant due to the absorption of the bone graft. The restoration using the silicone implant led to satisfactory results for the patient and the surgeon from an aesthetic standpoint, and we did not notice any inflammatory or infectious symptoms during the 11-month follow-up period.