Rhino-Orbito-Cerebral Mucormycosis

Author: Nishi Gupta and Santosh G. Honavar

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.

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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.

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.

About the Author

Dr Nishi Gupta is currently the Associate Medical Director and Head Department of Otorhinolaryngology & Head & Neck Surgery at Dr Shroff’s Charity Eye and ENT hospital, New Delhi India.

Dr Nishi Gupta obtained her MS degree in Otorhinolaryngology from Nagpur university in 1992 and trained at Great Ormond Street Hospital for Children London. She popularized the technique of endoscopic dacryocystorhinostomy in the country

She has 28 years of experience in Otorhinolaryngology and is a Founder of Tele otology services in India in collaboration with Medtronic Inc the USA in 2013. Her special area of interest includes endoscopic Sino-orbital, Skull base and Lacrimal surgeries. She has published five projects on Trans-nasal endoscopic procedures with the current book on ROCM with Springer being the sixth one.

These projects include 3 books published by her on Endoscopic Dacryocystorhinostomy, first in 2006, the second edition in 2011 and the thirdin 2020 with Springer. A video series on a variety of techniques of endoscopic DCR in 1999 and an advanced version of the video series of various endoscopic procedures related to the lacrimal drainage system is under publication with Springer since 2021.

Some of the awards and honours to her credit include the Ranbaxy award, Wolf endoscopic session winner award, Academic excellence award, Best paper award and KAIZEN Achievement Award.

Dr Santosh G Honavar, MD, FACS, FRCOphth received residency training in Ophthalmology, followed by senior residency in Ophthalmic Plastic Surgery and Ocular Oncology at the Dr Rajendra Prasad Center for Ophthalmic Sciences, AIIMS, New Delhi. He further trained in Ocular Oncology and was mentored by Prof Jerry A Shields and Prof Carol L Shields at the Wills Eye Hospital, Philadelphia, PA, USA. He thereafter established the Ocular Oncology Service at LV Prasad Eye Institute, Hyderabad, the first such facility in the country. He was the Associate Director of LVPEI. Dr Honavar currently heads the Department of Ophthalmic Plastic Surgery and Ocular Oncology and National Retinoblastoma Foundation at Centre for Sight, Hyderabad and leads the Medical Services team and CFS Education. He is also the Editor of Indian Journal of Ophthalmology. Some of the major awards and honors to his credit include Col Rangachari Gold Medal by the AIOS, 1992; Dr Siva Reddy International Award by the AIOS, 2007; Shanti Swarup Bhatnagar Award by the Government of India, 2010; Prof MA Matin Award by the Bangladesh Academy of Ophthalmology, 2013; Jerry Shields International Award by APAO, 2013; APAO Distinguished Service Award 2018; Peters Rogers Oration ANZSOPS, 2019; Lifetime Achievement Award by the American Academy of Ophthalmology, 2019; and Honorary Fellowship, the highest award of the Royal College of Ophthalmologists, 2020.

Back Cover

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.