Serap Bulut Cobden*, Serkan Altiparmak, Ibrahim Ozcan, Mustafa Alkaya and Altan Kaya
Department of Otolaryngology, Head and Neck Surgery, Kayseri City and Training Hospital, TurkeyFulltext 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..