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Facial Palsy in Post COVID-19 Invasive Fungal Sinusitis

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

This study aimed to study the various presentations of post COVID-19 invasive fungal sinusitis with 7th cranial nerve palsy and to correlate topodiagnostic tests and radiological findings to identify the site of lesion. A retrospective study was conducted at a tertiary care hospital where 11 patients with post COVID-19 invasive fungal sinusitis with facial palsy presented to our institute. Detailed history, clinical examination, radiological imaging were done for all patients. A total of 11 patients with post COVID-19 invasive fungal sinusitis with facial palsy were included in this study. The mean age of the patients was 44.8, with a male to female ratio of 4.5:1. Diabetes Mellitus was a major factor contributing to immunosuppression in our study with 9 patients who were known cases of diabetes mellitus and 2 newly diagnosed cases. On MRI, 10 patients had involvement of the Pterygopalatine fossa and 4 patients had involvement of the petrous apex. Post COVID-19 invasive fungal sinusitis can present with facial palsy, and diabetes mellitus is a major contributing factor to immunosuppression in these patients. The involvement of the petrous apex is a possible site of involvement, and MRI can aid in localizing the site of the lesion. Further studies are required to identify the exact mechanism of facial nerve palsy in invasive fungal sinusitis.

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Authors and Affiliations

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Seth GS, Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India

    Hetal Marfatia, Anav Rattan, Sanket Katkar, Mruganayani Jadhav, Monankita Sharma, Anoushka Sahai & Kartik Narkhede

  2. House Number 1104, Sector 33C, Chandigarh, 160020, India

    Anav Rattan

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  1. Hetal Marfatia
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  2. Anav Rattan
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  3. Sanket Katkar
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  4. Mruganayani Jadhav
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  6. Anoushka Sahai
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Contributions

HM and AR wrote and edited the article. SK helped in photographs. MJ helped in compilation of data. MS and AS helped in references.

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Correspondence to Anav Rattan.

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Ethical consideration

The study was approved by the Institutional Ethics Committee (Seth GS Medical College and KEM Hospital, Mumbai) IEC(II)/OUT/572/202. The research was conducted ethically, with all study procedures being performed in accordance with the requirements of the World Medical Association’s Declaration of Helsinki.

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Written informed consent was obtained from each participant/patient for study participation and data publication.

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Marfatia, H., Rattan, A., Katkar, S. et al. Facial Palsy in Post COVID-19 Invasive Fungal Sinusitis. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04495-0

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