{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:13Z","timestamp":1756339573212,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,5,8]]},"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Zygomatic osteomyelitis is a rare occurrence due to rich collateral blood supply of bone. A man in his 30s presented with complaints of pain over bilateral cheek and pus discharge below the eye on lateral aspect. He was a known case of COVID-19 associated mucormycosis postendoscopic debridement of sinuses 3 months back. Radiology revealed bilateral destruction of zygoma with discharging sinus. Microbiological analysis confirmed aseptate hyphae in pus, and a diagnosis of bilateral fungal zygomatic osteomyelitis made. Under general anaesthesia, sequestrectomy done using bilateral lateral rhinotomy with extended Dieffenbach\u2019s approach (batwing incision). Postsurgery 3000\u2009mg of liposomal amphotericin was administered. There was no enophthalmos or restricted eye movements postoperatively. Follow-up MRI suggested minimal inflammatory enhancement in maxillary sinus. Patient was discharged on oral antifungals.<\/jats:p>","DOI":"10.1136\/bcr-2021-247387","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T11:33:30Z","timestamp":1653996810000},"page":"e247387","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Batwing incision for a case of bilateral fungal zygomatic osteomyelitis"],"prefix":"10.1136","volume":"15","author":[{"given":"Sanjeev","family":"Yadav","sequence":"first","affiliation":[{"name":"ENT & head and neck surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Saini","sequence":"additional","affiliation":[{"name":"ENT & head and neck surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhimanyu","family":"Singh","sequence":"additional","affiliation":[{"name":"ENT & head and neck surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0160-5127","authenticated-orcid":false,"given":"Hitesh","family":"Verma","sequence":"additional","affiliation":[{"name":"ENT & head and neck surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"key":"2025082711090273000_15.5.e247387.1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(85)90075-0"},{"key":"2025082711090273000_15.5.e247387.2","doi-asserted-by":"crossref","DOI":"10.4103\/0975-5950.79219","article-title":"Chronic suppurative osteomyelitis of maxilla mimicking actinimycotic osteomyelitis: a rare case report","volume":"1","author":"Singh","year":"2010","journal-title":"Natl J Maxillofac Surg"},{"key":"2025082711090273000_15.5.e247387.3","doi-asserted-by":"crossref","first-page":"2349","DOI":"10.3201\/eid2709.210934","article-title":"Multicenter epidemiologic study of coronavirus disease-associated mucormycosis, India","volume":"27","author":"Patel","year":"2021","journal-title":"Emerg Infect Dis"},{"key":"2025082711090273000_15.5.e247387.4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/BF03022716","article-title":"Osteomyelitis of the skull base due to mucormycosis","volume":"51","author":"Panda","year":"1999","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"2025082711090273000_15.5.e247387.5","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199707000-00004"},{"key":"2025082711090273000_15.5.e247387.6","first-page":"1","article-title":"Historical evolution of surgical approaches to the face\u2014part I: head and upper face","volume":"8","author":"Sifuentes-Cervantes","year":"2021","journal-title":"Oral Maxillofac Surg"},{"key":"2025082711090273000_15.5.e247387.7","doi-asserted-by":"crossref","first-page":"264","DOI":"10.2174\/1871530316666161223145055","article-title":"Rhinocerebral mucormycosis with orosinusal involvement: diagnostic and surgical treatment guidelines","volume":"16","author":"Giudice","year":"2017","journal-title":"Endocr Metab Immune Disord Drug Targets"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247387","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:09:08Z","timestamp":1756318148000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":7,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,5,31]]},"published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1136\/bcr-2021-247387"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247387","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}