WORLD JOURNAL OF PLASTIC SURGERY

en Evaluation of the Imaging Characteristics of Rhino-Orbital Cerebral Mucormycosis تخصصي Special مقالات اصيل Original Article Background: Mucormycosis is a fungal infection with diverse clinical manifestations, the most common of which, i.e., the classical form of rhino-orbital cerebral mucormycosis (ROCM), has had a significant prevalence among patients recovered from COVID-19. We aimed to investigate the findings of ROCM imaging recorded at Imam Khomeini Hospital in Ahvaz, Iran, in 2022. Methods: This retrospective study reviewed the files of patients definitively diagnosed with mucormycosis and COVID-19. Imaging procedures performed on patients included non-contrast CT scans (CT imaging protocol: from vertex to mandible without contrast for evaluating sinus contents, bone erosion, osteomyelitis, pre-sinus or orbital invasion). Key imaging findings were assessed and documented, and findings were evaluated. Results: The mean age of subjects was 53.11 ± 14 years, with the majority being male (55.3%). All subjects had nasal and sinus involvement, but their brains were unaffected. Approximately 36% of subjects had ocular involvement. In imaging findings, left pterygopalatine involvement had the highest prevalence (27.7%), while left extraocular muscle involvement had the lowest prevalence (4.3%). Patients with lamina papyracea and extraocular muscle involvement all had ocular involvement, which was statistically significant. Additionally, those with hard palate erosion had significantly higher ocular involvement rates (5 out of 6 cases with hard palate erosion). Conclusion: Rhino-orbital cerebral mucormycosis is associated with nasal and sinus involvement, and diabetes and male gender are predisposing factors to this disease. CT, as a complement to other clinical evaluations, dramatically aids in diagnosing and identifying the extent and complications of the disease.   Rhino-orbital cerebral mucormycosis (ROCM 9), Mucormycosis, Imaging 79 85 http://wjps.ir/browse.php?a_code=A-10-1086-2&slc_lang=en&sid=1 Ayeh Kiani 100319475328460017043 100319475328460017043 No Department of Otolaryngology, Head and Neck Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran Mohammad Ghasem Hanafi 100319475328460017044 100319475328460017044 No Department of Radiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Shokrollah Salmanzadeh 100319475328460017045 100319475328460017045 No Department of Infectious Diseases, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Golshan Mirmomeni 100319475328460017046 100319475328460017046 No Hearing Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Zahra Javadzade zahrajavadzade4@gmail.com 100319475328460017047 100319475328460017047 Yes Department of Otolaryngology, Head and Neck Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran