Our Experience in the Management of Traumatic Wound Myiasis: Report of 3 Cases and Review of the Literature

Abstract

Compromised health and hygiene can lead to many complications and one among them is traumatic wound myiasis. Myiasis is the invasion of living tissues by larvae of flies. Three cases of traumatic orofacial wound myiasis and treatment strategies followed for the management of them are reported in this paper.

Oral myiasis in older adult with severe Alzheimer’s disease

“…Maggots can penetrate the surrounding tissue as they feed. If the wound is disturbed, they bury more deeply . In this study, this fact may explain the low number of maggots removed (approximately 30), associated to operative complications, such as, difficulties for accessing the lesion, lack of cooperation of the patient, reduced mouth opening, and domiciliary dental care service.…”

“…Certain drugs are suggested as adjuvants to treatment, such as Ivermectin (10 cases, and this study) and Nitrofurazone . Other chemical agents also were used to encourage the maggots to exit the wound through induction of tissue hypoxia or mechanical action of the irrigation, concomitantly, such as saline, chloroform, turpentine oil, hydrogen peroxide, and chlorhexidine . Sulfuric ether, olive oil, and gentian violet were also cited in other review studies …”

“…Debridement has a curative function, but some foreign body reactions may occur in cases in which maggots remain in the surgical wound due to incomplete debridement . Certain drugs are suggested as adjuvants to treatment, such as Ivermectin (10 cases, and this study) and Nitrofurazone . Other chemical agents also were used to encourage the maggots to exit the wound through induction of tissue hypoxia or mechanical action of the irrigation, concomitantly, such as saline, chloroform, turpentine oil, hydrogen peroxide, and chlorhexidine .…”

“…Among 70 papers found in the search, only 26 articles fulfilled the inclusion criteria, total 35 cases (62.9% male, mean age = 76.2 years, ranging from 60 to 97 years), and this study . Three of these articles were not included in the databases searched .…”

Equine ocular setariasis and its management

“…This takes days to 3 to 8 weeks to get resolved (Buchoo et al, 2005;Jaiswal et al, 2006;Patil et al, 2012). Human placenta extract has anti-inflammatory and analgesic effects and enhance wound healing (Piyali & Debasish, 2012;Changole et al, 2015;Shukla et al, 2016).…”