PMC9490249_01
Extra-oral photograph of the patient
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F1
Difficulty in speech, mastication, and foul smell were the chief complaints of the patient [Figure 1].
Intra-oral photograph showing sloughed mucosal tissues and exposed alveolar compartment of the maxilla
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F2
Photograph showing Intra-oral surgery
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F3
The treatment strategy included resection of the infected maxilla and functional endoscopic sinus surgery under general anesthesia [Figures 3 and 4].
Photograph showing resected maxillary segment
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F4
The treatment strategy included resection of the infected maxilla and functional endoscopic sinus surgery under general anesthesia [Figures 3 and 4].
Photomicrograph showing colonies of broad ribbon shaped, fungal organisms with large non septate hyphae branching at obtuse angles and ovoid sporangia resembling mucormycosis, H&E X 400
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F5
Within the marrow gaps, ovoid sporangia resembling mucormycosis were spotted [Figure 5].
Photomicrograph showing colonies fungal organisms with large non septate hyphae branching at obtuse angles resembling mucormycosis, Grocott's Methenamine Silver Staining X 400
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F6
The presence of nonseptate branching organisms with necrotic thrombi was also revealed by special staining using Grocott's methenamine silver staining [Figure 6].
Photograph showing primary closure of mucoperiosteal flap
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F7
The mucoperiosteal flaps were closed first [Figure 7] and then 15-day interval follow-ups were performed.
Photographs showing removal of nasolabial flap for closing the oro-antral communication
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F8
After 4 months of good wound healing, a nasolabial flap procedure was completed to close the oroantral interface [Figures 8 and 9].
Photographs showing closure of oro- antral communication using nasolabial flap
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F9
After 4 months of good wound healing, a nasolabial flap procedure was completed to close the oroantral interface [Figures 8 and 9].