title: Facial Reconstruction of a Mucormycosis Survivor by Free Rectus Abdominis Muscle Flap, Tissue Expansion, and Ocular Prosthesis.
abstract: Invasive sinonasal mucormycosis is a rare fungal infection that usually occurs in immunocompromised or diabetic patients, and it is often fatal. The authors present a case of a woman patient suffering from systemic lupus erythematosus and diabetes mellitus treated with prednisone, presenting with a rapidly progressive rhino-orbital-cerebral mucormycosis. She was successfully treated with combined intravenous antifungal therapy and radical debridement followed by complex defect reconstruction with a free vertical rectus abdominis myocutaneous flap, tissue expander, and ophthalmic prosthesis.
authors.affiliation: *Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben Gurion University, Beer Sheva, Israel; †Department of Chemical Engineering, Sami Shamoon College of Engineering, Beer-Sheva, Israel; and ‡Otolaringology and Head and Neck Surgery Division, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
authors.forename: Eldad
authors.initials: E
authors.lastname: Silberstein
authors.forename: Yuval
authors.initials: Y
authors.lastname: Krieger
authors.forename: Nir
authors.initials: N
authors.lastname: Rosenberg
authors.forename: Alexander
authors.initials: A
authors.lastname: Bogdanov-Berezovsky
authors.forename: Yaron
authors.initials: Y
authors.lastname: Shoham
authors.forename: Oshra
authors.initials: O
authors.lastname: Saphier
authors.forename: Vasileios A
authors.initials: VA
authors.lastname: Pagkalos
authors.forename: Ben-Zion
authors.initials: BZ
authors.lastname: Joshua
mesh_terms: D000328:Adult; D005137:Eye, Artificial; D005148:Facial Dermatoses / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D009091:Mucormycosis / Q000175:diagnosis / Q000601:surgery*; D017568:Rectus Abdominis / Q000637:transplantation*; D015361:Rhytidoplasty / Q000379:methods*; D015626:Tissue Expansion / Q000379:methods*; D014057:Tomography, X-Ray Computed