de Arruda José Alcides Almeida, de Oliveira Silva Leni Verônica, Silva Pedro Urquiza Jayme, de Figueiredo Eugênia Leal, Callou Gerhilde, Mesquita Ricardo Alves, do Egito Vasconcelos Belmiro Cavalcanti
Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Recife, Brazil.
Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Recife, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Nov;124(5):e249-e256. doi: 10.1016/j.oooo.2017.06.120. Epub 2017 Jul 5.
This study describes 9 cases of myiasis affecting the head and neck region and discusses the demographic distribution, treatment, clinical characteristics, and sequelae of the disease in light of the literature.
The study was performed in 2 steps. In the first part, 9 cases seen over a period of 10 years at the Emergency Department of Hospital da Restauração in Brazil were studied. In the second part, a literature search was performed in PubMed for articles on head and neck myiasis published from 1975 to March 2017.
The case series mainly consisted of male patients in their 30s. The palate was the most commonly affected site. Myiasis was caused by Cochliomyia hominivorax in all patients, who were treated by mechanical removal of the larvae and debridement of necrotic tissue, followed by oral ivermectin. All patients had sequelae resulting from bone destruction.
Head and neck myiasis generally affects individuals with poor hygiene habits, drug users, and individuals with neurologic and psychosocial disorders. The treatment of choice is mechanical removal of larvae and surgical debridement combined with oral ivermectin. This study provides information that could help clinicians in the diagnosis and management of this condition.
本研究描述了9例影响头颈部的蝇蛆病病例，并根据文献探讨了该病的人口统计学分布、治疗方法、临床特征及后遗症。
本研究分两步进行。第一部分，对巴西 Restauração 医院急诊科10年间收治的9例病例进行研究。第二部分，在 PubMed 上检索1975年至2017年3月发表的关于头颈部蝇蛆病的文章。
该病例系列主要为30多岁的男性患者。腭部是最常受累的部位。所有患者的蝇蛆病均由嗜人锥蝇引起，治疗方法为机械清除幼虫及清创坏死组织，随后口服伊维菌素。所有患者均有骨质破坏导致的后遗症。
头颈部蝇蛆病通常影响卫生习惯差的个体、吸毒者以及患有神经和心理社会障碍的个体。首选治疗方法是机械清除幼虫、手术清创并联合口服伊维菌素。本研究提供的信息有助于临床医生对该病进行诊断和管理。
