Shenoi Ramakrishna, Kolte Vrinda, Ingole Pranav, Rajguru Jignesh, Karmarkar Jui, Kolte Sunil, Patankar Kunal
Department of Oral and Maxillofacial Surgery, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India.
Department of Parasitology, Nagpur Veterinary College, Nagpur, Maharashtra, India.
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):521-524. doi: 10.4103/ams.ams_177_20. Epub 2020 Dec 23.
Myiasis is a rare disease caused by infestation of tissue by larvae of flies. Oral myiasis is still rare and unique owing to the fact that the oral cavity rarely provides a necessary habitat for a larval life cycle. We discuss the definition, etiology, predisposing factors, classification, and management of myiasis. We hereby report a rare case of oral myiasis in a 75-year-old female with a history of maxillofacial trauma. She complained of pain in the lower lip and commissure region on the left side through which numerous live maggots (larvae) were seen crawling out. Postremoval of approximate seventy maggots resulted in lower lip defect along its commissure which was repaired by Bernard's modification of Gillies flap. Another case was an 18-year-old girl, a known case of congenital cerebral palsy with pain and swelling in the upper vestibule region. Prevention of myiasis involves addressing open wounds, maintaining good oral and personal hygiene, control of fly population, basic cleanliness of surrounding areas, and provision for basic sanitation and health education.
蝇蛆病是一种由蝇类幼虫寄生于组织引起的罕见疾病。口腔蝇蛆病仍然罕见且独特，因为口腔很少能为幼虫的生命周期提供必要的栖息地。我们讨论了蝇蛆病的定义、病因、易感因素、分类和治疗。我们在此报告一例75岁有颌面外伤史女性的罕见口腔蝇蛆病病例。她主诉左侧下唇及口角区疼痛，可见大量活蛆（幼虫）爬出。取出约70条蛆后，下唇沿口角处出现缺损，采用伯纳德改良吉利斯皮瓣修复。另一例是一名18岁女孩，她是一名已知的先天性脑瘫患者，上前庭区域疼痛肿胀。预防蝇蛆病包括处理开放性伤口、保持良好的口腔和个人卫生、控制苍蝇数量、保持周围区域基本清洁以及提供基本的环境卫生和健康教育。
