PMC6585200_01
(a) Mucormycosis presenting with facial nerve palsy. (b) Mucormycosis presenting with facial swelling
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F2
One patient, a 32-year-old female, presented with a complaint of right-sided facial nerve palsy [Figure 2a]. On examination, all these patients had an extraoral, very tender swelling over the affected maxilla [Figure 2b].
Extent of palatal ulceration
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F3
Intraorally, there was ulceration of the hard palate, which ranged from minor bone exposure to extensive sequestration [Figure 3] and bony sequestrum was noticed.
Computed tomography presentation of mucormycosis. (a) Erosion of maxillary sinus. (b) Extension into frontal sinus. (c) Retrobulbar soft-tissue involvement
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F4
CT imaging revealed the erosion of the palatal wall and obliteration of the maxillary sinus [Figure 4a], which extended up to the right frontal sinus in two patients [Figure 4b]. Retrobulbar soft-tissue changes were visible in the patient who had presented with proptosis [Figure 4c].