Am J Otolaryngol Head Neck Surg | Volume 4, Issue 8 | Case Report | Open Access

Maxillary Sinus Myiasis: A Case Report

Serap Bulut Cobden*, Serkan Altiparmak, Ibrahim Ozcan, Mustafa Alkaya and Altan Kaya

Department of Otolaryngology, Head and Neck Surgery, Kayseri City and Training Hospital, Turkey

*Correspondance to: Serap Bulut Cobden 

Fulltext PDF


Purpose:We report a rare case of maxillary sinus myiasis in a patient without any physical or mental deficiency and neither living in high humidity nor low socioeconomic status.

Methods:Myiasis is defined as the infestation of live vertebrates tissues or cavities with dipterous larvae of a variety of fly species. The distribution of the disease is worldwide, but especially in tropical area with high humidity. It is frequent in rural areas, among people of low socioeconomic status that  suffer  from  Poorna  sal  hygienic  conditions.  A  healthy,  36  year-old  patients  refer  to Kayseri City  Hospital,  ENT  clinic  with  story  of  sneezing  larvae.  At  our  examination  anterior  rinoscopy and  flexible endoscopy  of  the  patient’s  nose  revealed  no  further  larvae.  But  in  paranasal  sinus tomography there was one larvae at right maxillary sinus. Therefore examination of the nasal cavity was performed under general anesthesia, one alive larva was found in superior part of the sinus.

Results:The patient was discharged the following day and on the control no new larvae were found and patient complaints were regressed.

Conclusion:Nasal myiasis, which is usually seen in regions with humid climates and people with predisposing factors, can rarely be seen in people who live in non-humid climate and completely healthy.  Therefore,  it  should  come  to  mind  as  an  alternative diagnosis  in  patients  with  sinusitis symptoms. Since its complications can be dangerous, early diagnosis is important and should be treated early.


Sinonasal myiasis, Maxillary sinus, Larvae


Cobden SB, Altiparmak S, Ozcan I, Alkaya M, Kaya A. Maxillary Sinus Myiasis: A Case Report. Am J Otolaryngol Head Neck Surg. 2021; 4(8): 1154..

Subscribe to Our Newsletter