José Alcides Almeida de Arruda1, Leni Verônica de Oliveira Silva2, Pedro Urquiza Jayme Silva3, Eugênia Leal de Figueiredo4, Gerhilde Callou2, Ricardo Alves Mesquita5, Belmiro Cavalcanti do Egito Vasconcelos6. 1. Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Recife, Brazil. Electronic address: Alcides_almeida@hotmail.com. 2. Department of Oral and Maxillofacial Pathology, School of Dentistry, Universidade de Pernambuco, Recife, Brazil. 3. Department of Stomatologic Sciences, School of Dentistry, Universidade Federal de Goiás, Goiânia, Brazil. 4. Hospital da Restauração, Universidade de Pernambuco, Recife, Brazil. 5. Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. 6. Hospital da Restauração, Universidade de Pernambuco, Recife, Brazil; Department of Oral and Maxillofacial Surgery, School of Dentistry, Universidade de Pernambuco, Recife, Brazil.
Abstract
OBJECTIVE: 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. STUDY DESIGN: 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. RESULTS: 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. CONCLUSIONS: 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.
OBJECTIVE: 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. STUDY DESIGN: 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. RESULTS: 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. CONCLUSIONS: 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.
Authors: Samara Andreolla Lazaro; Franklin David Gordillo Yépez; João Paulo De Carli; Micheline Sandini Trentin; Letícia Copatti Dogenski; Ferdinando De Conto Journal: Int J Surg Case Rep Date: 2020-05-21
Authors: Juan David Ruiz-Zapata; Luis Mauricio Figueroa-Gutiérrez; Jaime Alberto Mesa-Franco; Paula Andrea Moreno-Gutierrez Journal: Front Med (Lausanne) Date: 2020-01-22
Authors: Giuseppe D'Amico Ricci; Giovanni Garippa; Stefano Cortese; Rita Serra; Francesco Boscia; Stefano Dore; Antonio Pinna Journal: PLoS One Date: 2021-10-26 Impact factor: 3.240