Nasal Myiasis in Hinduism and Contemporary Otorhinolaryngology

Myiasis of Peristomal Sinuses Around Tracheostomy Wound: Case Report of 2 Cases

"Myiasis" is considered in Hindu mythology as "God's punishment for sinners". Literature abounds with reports of myiasis affecting the nasal cavity, ear, non healing ulcers, exophytic malignant growth and cutaneous tissue. But case report of myiasis of the tracheostomy wound is relatively rare and that also peristomally is seen first time. We are reporting two cases whose tracheostomy was done, one for laryngeal cancer and other for laryngocoele. We are discussing the need for the proper care of tracheostomy wound myiasis because the site of such an infestation is close to vital organs in the neck and avoiding complications.

Management of nasal myiasis and type 2 diabetes mellitus: A rare case and review article

Background

Nasal myiasis is a nasal infestation caused by house fly larvae (maggot). It's a rare condition with only a few reported cases and no treatment consensus.

Case presentation

A 54-year-old woman was admitted to the emergency unit with a complaint of larvae found in the left nasal cavity and bloody nasal discharge for 2 days. Anterior rhinoscopy found some living larvae in a narrowed left nasal cavity. Patient's management included larvae removal manually with forceps, nasal saline irrigation, a systemic broad-spectrum antibiotic, and insulin to controlled blood sugar.

Discussion

Removal of larvae in the nasal cavity using irrigation saline and systemic broad-spectrum antibiotics is effective in the absence of bone destruction.

Conclusion

manual extraction combined with nasal saline irrigation and systemic broad-spectrum antibiotic was effective to manage nasal myiasis.

•

Nasal myiasis in type 2 diabetes mellitus patients can recover when the patient's blood sugar level is controlled.

•

Treatment of nasal myiasis wounds can use saline irrigation.

•

Effective management of nasal myiasis with a combination of saline irrigation and systemic broad-spectrum antibiotics.