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Myiasis infestation in postoperative mastoid cavity
P Adhikari1, B K Sinha, H Bhattarai
1Department of Otorhino-Laryngology and Head and Neck Surgery, T.U. Teaching Hospital, Kathmandu, Nepal. prakash_ooz@hotmail.com
Nepal Medical College Journal : NMCJ
|February 27, 2008
Summary
This case report details a rare instance of myiasis (maggot infestation) in a modified radical mastoidectomy cavity. The patient, a 48-year-old male, had approximately 50 maggots removed and was treated with turpentine oil and antibiotics.
Area of Science:
- Otorhinolaryngology
- Parasitology
- Surgical Case Reports
Background:
- Myiasis, an infestation by fly larvae, is uncommon in surgical cavities.
- Postoperative myiasis in the mastoid cavity is exceedingly rare, with limited documented cases.
Observation:
- A 48-year-old male presented with myiasis in his modified radical mastoidectomy cavity.
- Approximately 50 maggots were extracted from the affected surgical site.
Findings:
- The patient's mastoid cavity was infested with maggots.
- Successful removal of maggots was achieved.
Implications:
- This case highlights the importance of vigilance for myiasis in postoperative ear surgery patients.
- Prompt diagnosis and management, including larval removal and antibiotic prophylaxis, are crucial.
- Further research into the risk factors and prevention of myiasis in surgical sites is warranted.

