Oral myiasis: a case series of 11 patients treated at Khyber College of Dentistry Hospital, Peshawar

ABSTRACT

In order to determine the clinical presentation and management f 11 patients suffering from Oral myiasis a descriptive case series study was carried out at Khyber College of Dentistry, Peshawar, from June 2008 to December 2011. 11 patients of Oral Myiasis reported over a time period of 5 years. Thorough history was taken from each patient followed by complete clinical examination, relevant radiographs were advised where necessary. Surgical debridement was carried out followed by larvae removal with the help of maggot oil. Two patients were advised systemic therapy with Ivermectin. Mean age of the patient at the time of presentation was 39.72 years SD + 21.5. Majority of patients were males [64%]. Anterior maxilla was found to be the predominant site. Head and neck malignancies were found to be the most common cause of Myiasis. Thus Oral myiasis is a rare but serious condition, involving necrotic and suppurative wounds in patients with deranged systemic conditions. Treatment includes cleaning, debridement, removal of larvae and systemic therapy with Ivermectin