White Zrria L, Chu Michael W, Hood Richard J
Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, 600 Gresham Dr., Suite 1100, Norfolk, VA 23507.
Ear Nose Throat J. 2015 Jul;94(7):E24-5. doi: 10.1177/014556131509400719.
Nasal myiasis is a rare condition, with only a few reported cases and no treatment consensus. We propose a conservative treatment approach with saline irrigation and debridement. Two patients in the ICU of Norfolk General Hospital, a tertiary academic referral center, presented simultaneously with nasal myiasis. Both patients were negative for necrotic masses or tumors, and neither patient had any contributory medical comorbidities. Both patients were treated conservatively with a single dose of pyrantel pamoate, daily sinus irrigation with saline, and daily bedside endoscopic debridement. After 2 days, the nasal myiasis resolved, and both patients recovered without sequelae. We conclude that this conservative, nonsurgical approach to management is both safe and effective.
鼻蝇蛆病是一种罕见病症，仅有少数病例报道且尚无治疗共识。我们提出采用盐水冲洗和清创的保守治疗方法。在一家三级学术转诊中心诺福克综合医院的重症监护病房，有两名患者同时出现鼻蝇蛆病。两名患者均未发现坏死肿块或肿瘤，且均无相关的医疗合并症。两名患者均接受了单剂量的噻嘧啶治疗、每日用盐水进行鼻窦冲洗以及每日在床边进行内镜清创的保守治疗。两天后，鼻蝇蛆病得以治愈，两名患者均康复且无后遗症。我们得出结论，这种保守的非手术治疗方法既安全又有效。
