Main description:

This book is the most comprehensive (and possibly the first) manual on 'Rhino-Orbito-Cerebral Mucormycosis (ROCM) that covers mucormycosis of the nose extending to sinuses, orbit, and brain, all in. This volume covers the surge of cases during the COVID-19 pandemic, early identification and causative factors, microbiology, pathology and radiology, and the clinical presentation. Notes on surgical approaches, extent, and techniques of debridement, number of sittings, antifungal therapy, complications, and their management equip readers to manage these cases confidently. Detailed descriptions of ROCM surgery accompanied by nearly 500 photographs and anatomical drawings help support diagnostic and surgical decision-making. Also included is information on various specifications of MRI that help in achieving a perfect surgical clearance.

The book includes chapters on debates on salvaging the orbit in ROCM, various situations, their management, the extent of resection, antifungal dosage and duration, prognostication of the patient, and postoperative care.

The book assists surgeons in gaining the skills to perform endoscopic clearance of difficult areas like pterygoplataine fossa, infratemporal fossa, pterygoid plates, and the lacrimal drainage system, which offers significant advantages in terms of avoiding postoperative morbidity as compared to an external route. Since the external route is required in the most extensive form of the disease, the book has also covered it extensively.

This book is an indispensable resource for otorhinolaryngologists, ophthalmic surgeons, ophthalmic plastic surgeons, physicians, microbiologists, pathologists, radiologists, neurosurgeons, faciomaxillary surgeons and junior and senior consultants optometrists and students.

Contents:

1 Introduction 2 Clinical Profile of cases with Rhino-Orbito-Cerebral Mucormycosis 3 Imaging in Rhino-Orbito-Cerebral Mucormycosis (ROCM) 4 Pathogenesis of COVID-Associated Mucormycosis 5 Microbiological diagnosis of Rhino Orbito Cerebral Mucormycosis 6 Histopathological Diagnosis of Rhino-Orbito-Cerebral Mucormycosis 7 Surgical Management of Rhino Orbito Cerebral Mucormycosis; Basic Endoscopic Sinus Surgery Procedures 8 Surgical management of Rhino-Obito-Cerebral Mucormycosis (ROCM); Approach to Pterygopalatine fossa, Pterygoid process, Infratemporal fossa and orbit 9 Surgical Management of Rhino-Orbito-Cerebral Mucormycosis; Drilling beyond Sinuses in Rhino-Orbito-Cerebral Mucormycosis 10 Globe Sparing Trans Nasal Endoscopic Orbital Exenteration in Rhino-Orbito-Cerebral Mucormycosis 11 Open surgery in Rhino-Orbito-Cerebral Mucormycosis 12 Cranio-Cerebral Mucormycosis 13 Palatal Disease in Rhino- Orbito- Cerebral Mucormycosis 14 Lacrimal Drainage System in Rhino- Orbito- Cerebral Mucormycosis 15 Antifungal Therapy in Rhino-Orbito- Cerebral Mucormycosis (ROCM) 16 Medical management of patients with Rhino-Orbito-Cerebral Mucormycosis 17 Clinical profile and management of a series of Rhino-Orbital-Cerebral Mucormycosis cases at otorhinolaryngology department of a tertiary hospital 18 Analysis of Orbital Involvement in 562 Cases of Rhino-Orbito-Cerebral Mucormycosis 19 Decision-making in Orbital Mucormycosis - Conservative versus Orbital Exenteration 20 Debates in Rhino-Orbito-Cerebral Mucormycosis (ROCM); Classification Dilemmas 21 Debates in Rhino-Orbito-Cerebral Mucormycosis; Orbital disease management Dilemma 22 Profile of Rhino-Orbito-Cerebral Mucormycosis Patients Reporting after Multiple Debridement and Antifungal Treatment 23 Future Directions in the management of Rhino Orbito Cerebral Mucormycosis