Surgical wound myiasis in the maxillofacial region.

Author(s): Dharnappa Poojary, Anand Amirthraj A.*, Rammohan Kumar, Ashok M.

Abstract

Myiasis of oral and maxillofacial region is a rare condition caused by the invasion of tissues by larvae of flies. A case of 62-year-old male operated for squamous cell carcinoma of floor of the mouth of myiasis is presented with breakdown of the wound a week after the surgery. The patient was unaware of the lesion, although it produced a swelling and complete breakdown of the wound. The lesion was treated with flushing the ulcer with turpentine oil. These create an anaerobic atmosphere inside the ulcer, which forces the larvae to come to the surface, facilitating debridement. Followed by topical application of local anaesthesia, the mechanical removal of maggots was done. Follow-up examination revealed complete subsidence and healing of the lesion.

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