Table 1.
Published cases using adjuvant topical amphotericin following surgical exenteration, enucleation, or craniotomy for rhino-orbital-cerebral mucormycosis (ROCM).
| Reference | Age/Sex | Risk Factors | Species | IV Therapy | Topical Route | Topical Solution | Frequency | Outcome | Final Margins |
|---|---|---|---|---|---|---|---|---|---|
|
Mohsenipour 1996, Austria [12] |
65 M | Immuno-suppression | Rhizomucor spp | dAMB, then L-AMB |
Pack with absorbable gelatin sponge | dAMB 2.5 mg/cm3 | Once | Lived | n/a |
| Seiff, 1999, USA [23] | 34 M | Diabetes, Immuno-suppression | Mucor spp | dAMB | Irrigation catheter into orbit | dAMB 0.25–1 mg/mL | TID-QID x 5–14 days | Lived | n/a |
| Farooq, 2015, USA [24] | 59 F | Diabetes, Immuno-suppression | n/a | dAMB + Micafungin | Drip into orbit | n/a | n/a | Died | n/a |
| Uğurlu, 2015, Turkey [25] | 59 M | Diabetes | n/a | L-AMB | Direct Irrigation into socket | n/a | n/a | Lived | n/a |
| Liu, 2019, China [26] | 50 F | Immuno-suppression | Cunninghamella | L-AMB + Posaconazole | Nasal irrigation | dAMB 0.08 mg/mL | BID | Died | n/a |
| Navarro-Perea, 2019, Spain [27] | 50 F | Immuno-suppression | Rhizopus oryzae | L-AMB + Andulafungin | Impregnated gauze | L-AMB | BID x 7 days, then daily | Lived | n/a |
| Navarro-Perea, 2019, Spain [27] | 52 F | Diabetes | Rhizopus oryzae | L-AMB + Andulafungin | Impregnated gauze | L-AMB | BID x 7 days, then daily | Lived | n/a |