International Journal of Head and Neck Surgery

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VOLUME 4 , ISSUE 1 ( January-April, 2013 ) > List of Articles

CASE REPORT

Advanced Case of Invasive Basal Cell Carcinoma with Extensive Ocular Myiasis

Sumit Gupta, Sudhir Naik, Rajshekar Halkud, A Nanjundappa

Citation Information : Gupta S, Naik S, Halkud R, Nanjundappa A. Advanced Case of Invasive Basal Cell Carcinoma with Extensive Ocular Myiasis. Int J Head Neck Surg 2013; 4 (1):36-40.

DOI: 10.5005/jp-journals-10001-1133

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Ocular myiasis or ophthalmomyiasis means the infestation of the eye on a background of foul smelling skin infection or advanced case of skin cancers. Older people, immunocompromised patients with orbital carcinomas, diabetics and patients on immunosuppressive therapy, poor environmental sanitation and personal hygiene are prone for this infestation.

Case report

A 72-year-old female reported to us with extensive myiasis of the right eye. Lesion of 4 × 4 cm at the medial canthus and the right maxillary region with the right nasal dorsum was infested with maggots. All the larvae were removed with forceps and the wound debrided.

Intervention

The larvae were present for a week and on healing the wound was evaluated with computed tomographic (CT) scan paranasal sinuses with axial and coronal section. As no bony erosion and intracranial extension was noted hence considering the age and diabetic status surgery was not contemplated and the lesion was irradiated.

Conclusion

Ocular myiasis is a rare disease, accompanied by marked inflammatory reactions and secondary bacterial infections with massive destruction and life-threatening consequences, such as intracranial invasion. Prompt management with debridement and radical antibacterial therapy is essential.

How to cite this article

Naik SM, Nanjundappa A, Halkud R, Gupta S. Advanced Case of Invasive Basal Cell Carcinoma with Extensive Ocular Myiasis. Int J Head and Neck Surg 2013;4(1):36-40.


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