ORAL MYIASIS- A RARE CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 77
Abstract
PRESENTATION OF CASE A 30-year-old male was brought in the Dept. of Otorhinolaryngology & Head/Neck Surgery, RIMS with a complaint of maggots coming out from mouth along with ulceration, swelling & necrosis of gingival area. There is history of alleged RTA 3 years back for which he underwent left-sided frontotemporoparietal craniectomy followed by cranioplasty. At present, patient is in vegetative state with spontaneous eye opening and spastic hemiplegia. On local examination, there was severe halitosis and poor oral hygiene with generalised periodontitis. Upper gingiva was detached and lifted from the alveolar bone with deep pockets in relation with upper left incisor & canine teeth which were covered by necrotic tissue along with slough. The palatal soft tissue was perforated near the incisor region with bony defect in hard palate. On close examination, numerous maggots were seen moving and coming out of the lesion. The clinical presence of the maggots and the examination of the maggots confirm the diagnosis of oral myiasis. Cotton bud impregnated with turpentine oil was placed at the orifice of the socket for approximately 10 minutes. Around 20 maggots were manually removed with tissue holding forceps. Necrotic areas are irrigated with hydrogen peroxide and Betadine solution along with suction machine. On the next day, the patient again came with his attendant complaining of leftover maggots in oral cavity. Irrigation and lavage of the wound continued for one week along with conservative treatment with broad-spectrum oral antibiotics. Oral hygiene instructions to the guardians were carried out extensively.
Authors and Affiliations
Rituparna Saha, Lido Kamgo, Aniruddha Basak
Keywords
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- EP ID EP267583
- DOI 10.14260/Jemds/2017/1197
- Views 88
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