Fig. 9

Typical case in our patients suffering from maxillofacial mucormycosis. Due to the disease’s high affinity to the arteries and its internal elastic lamina causing embolism and infarctions. Previous imaging results revealed opacification of the left maxillary sinus, ethmoid sinus, and frontal sinus, erosion of the anterolateral wall of left maxillary antrum with thickening of the sinus lining, embolus formation in left facial artery and ophthalmic artery. A Preoperative physical sign showed orbital and facial cellulitis with areas of necrotic skin; B Massive necrotic infected tissue removed; C The first surgical debridement; D Clinical aspect 2 weeks after operation; E Follow-up photo documentation (wound covered by Vaseline gauze) after 5 months; F The second surgical debridement along with reconstruction for disfiguring maxillofacial deformity; G The pedicled forearm flap was harvested; H. The skin island reconstructed the defect cavity; I Postoperative view in the follow-up of 45 days