Gandhi Medical College, Bhopal, India.
Braz J Otorhinolaryngol. 2009 May-Jun;75(3):356-61. doi: 10.1016/s1808-8694(15)30651-0.
Myiasis in ENT, once a deadly disease still presents as a significant outdoor problem, though advances in management including supportive therapy has led to early healing with significant reduction in bed occupancy rate.
To assess the clinico etiology, relationship of myiasis to habit and habitat of patients and to assess the changes in age, seasonal, socioeconomic incidence, nasal bacterial flora and usefulness of certain commonly done tests with reference to a gap of 25 years.
MATERIALS & METHODS: The presenting study was conducted on 80 patients selected over a period of two time intervals ; first 40 cases were chosen from 1979 to 1980 and next 40 over 2003 to 2004. Cases were studied in a retrograde manner and data tabulated.
RESULTS & CONCLUSIONS: Atrophic turbinates was the commonest pathological finding in nose in 30% of cases . Significant change seen was in the age group 51 and above with a rise of 30%. Mode during 2003-04 was 60 years. Incidence of palatal perforation dropped from 17.88 to 2.5% . Klebsiella emerged as a significant contributor to the nasal microbial flora. VDRL and split skin smear showed poor etiological association for the diseases.
耳鼻喉科的蝇蛆病曾经是一种致命疾病，但由于管理方面的进步，包括支持性治疗，已经可以早期治愈，大大降低了住院率，因此仍然是一个严重的户外问题。
评估蝇蛆病的临床病因、与患者习惯和栖息地的关系，并评估年龄、季节、社会经济发病率、鼻腔细菌菌群的变化以及某些常用检测的有用性，与 25 年前相比。
本研究在两个时间段内对 80 例患者进行了研究；第一个 40 例是在 1979 年至 1980 年期间选择的，接下来的 40 例是在 2003 年至 2004 年期间选择的。以回顾性方式对病例进行研究并进行数据制表。
鼻甲萎缩是鼻腔最常见的病理发现，占 30%。年龄组 51 岁及以上的比例显著上升了 30%。2003-04 年的发病模式为 60 岁。腭裂穿孔的发病率从 17.88%降至 2.5%。克雷伯氏菌成为鼻腔微生物群的重要贡献者。VDRL 和分裂皮肤涂片显示与疾病的病因关联较差。
