Myiasis of the Tracheostomy Wound

Bhatia, Mohit; Dutta, Kalyan

doi:10.1017/s0022215100064549

Cited by 20 publications

(9 citation statements)

References 2 publications

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“…Majority of cases presented in the months of October-January, with a peak in November (32/95) in our study. Various studies (9), (10) (Bhatia et al and Sood VP et al P) had slight variations in peak months, however, majority concluded majority cases in winters followed by rainy season.…”

Section: Discussionmentioning

confidence: 97%

A Retrograde Study of Myiasis in a Tertiary Care Centre

Goel

Nigam

2020

PIJR

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Myiasis in head and neck region is a rare occurrence and is usually found in tropical countries like India. Poor hygiene, unsanitary living conditions, mental retardation, neglected wounds, diabetes mellitus and old age along with a warm and humid climate lay down a conducive environment for the larva of dipterous fly to infest humans. Maggots due to their tissue destructive properties can affect many regions in otolaryngorhinology like nasal cavity, ears, oral cavity, tracheostomy site ostoma, PNS, the skin and ulcerative lesions of head and neck. The burden of the disease lies in the fact that the complications range from minor tissue destruction, perforation of either the tympanic membrane, palate or septum, vertigo, angioedema to severe neurological manifestations, intracranial extension or rarely even death. Objective: To assess the commonly affected age group and gender infested by myiasis, it’s seasonal trend, socioeconomic status of the affected patients and the relationship of myiasis infestation with various predisposing factors. Methodology: Retrograde study was conducted on 95 patients of department of otorhinolaryngology. The study was done from January 2015 to October 2018 by collecting data of 3 years 10 months time interval and results tabulated. Ethical clearance was sort and patients consent obtained. Result: The most commonly affected age group was found to be elderly, in the 7th decade of life (56.84%). Females were more commonly affected than males consisting of 55 out of 95 cases (57.89%), with a male female ratio of 1:1.4. Majority of cases presented in the months of October-January, with a peak in November (32/95). Nasal myiasis was found to be more common (69 cases) in comparison to aural and oral cavity myiasis. The most common predisposing factor was found to be Atrophic Rhinitis in 66.7% cases. Conclusion : With awareness and improved personal hygiene a devastating disease like myiasis is easily preventable and curable.

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Section: Discussionmentioning

confidence: 97%

A Retrograde Study of Myiasis in a Tertiary Care Centre

Goel

Nigam

2020

PIJR

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“…Reports have appeared in the literature regarding nasal, auricular or oral myiasis but myiasis related to tracheostomy is a very rare event with only two publications Having appeared in the English literature 1,2 . Myiasis was considered, by Hindu mythology, as "God's punishment of sinners".…”

Section: Discussionmentioning

confidence: 99%

Myiasis in a the Tracheotomy Wound: A Case Report

Mahmud¹,

Islam²,

Rahman³

et al. 2020

Bangladesh J of Otorhinolaryngology

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“Myiasis” is a parasitic infestation of live human or vertebrate animal tissues or cavities caused by dipterous larvae (maggots) which feed on the host’s dead or living tissue, liquid body substances or ingested food. The case is reported, probably the first in Bangladesh, tracheostomy myiasis. It was caused by infestation with larvae. The patient had undergone tracheostomy 3 years earlier and was a case of ca-larynx. The condition was treated by applying halothane to the tracheostomy wound, which caused spontaneous exit of approximately 30 larvae, easily removed with forceps. Predisposing factors could be: 1. Immuno-compromization due to post-irradiation state of patient; 2. Poor hygiene of tracheostomy tube; 3. Bad smell of wound, which attracts flies; 4. Living in a rural area deprived from necessary health care. Although this is not a lethal disorder, knowledge of the disease is necessary from the preventive, diagnostic and curative standpoint. It is important to proceed with identification of the larvae, distinguishing them from other types of myiasis involving different therapeutic implications. Bangladesh J Otorhinolaryngol; October 2016; 22(2): 119-121

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“…One was secondary to foreign body aspiration into the intrathoracic trachea through the tracheostomy tube [5]. Two cases were reported in patients who were in persistent vegetative state [1,6]. One case was reported in a patient undergoing Chemotherapy for carcinoma of larynx [7].…”

Section: Discussionmentioning

confidence: 99%