Nasosinusal myiasis in elderly patient with mucocutaneous leishmaniosis

Myiasis is a condition in which flies are attracted to infected and/or necrotic tissues and deposit eggs that hatch into larvae. It may bring serious functional and aesthetic sequelae when involves nasal and parasinusal cavities; however, there is a lack of such reports in the literature.

We present and briefly discuss herein the clinical and surgical management of nasosinusal myiasis in an elderly patient previously affected by mucocutaneous leishmaniosis.

Facial computed tomography was used to confirm the nasosinusal involvement. Next, osteotomies were performed, followed by the mechanical removal of larvae, bilateral sinusectomy and pharmacological therapy.

A complicated case of nasosinusal myiasis was surgically managed, resulting in a good prognosis for the patient.