Oral myiasis

• Published in: Stomatološki glasnik Srbije Vol. 55; no. 4; pp. 254 - 258
• Main Authors: Leite, Cavalcanti, Lucas, Neto, de, Farias, Morais, Lucas, de, Castro
• Format: Journal Article
• Language: English
• Published: Serbian Medical Society - Dental Section, Belgrade 2008
• Subjects: myiasis; oral health; periodontal diseases
• ISSN: 0039-1743; 1452-3701
• DOI: 10.2298/SGS0804254L

Oral myiasis is a rare disease that is most common in developing countries and is associated with poor oral hygiene, suppurating lesions, severe halitosis and other predisposing conditions. This paper describes a case of oral myiasis in a 22-year-old female patient who presented with acute upper lip swelling with an extensive necrotic area in the anterior region of the maxilla and fetid odor. The diagnosis was based on the typical clinical features and the visual presence of the larvae. The patient's management included surgical exploration to remove the larvae and the necrotic tissue, followed by scaling and oral hygiene instruction. Upon treatment, the larvae were eliminated, and complete lesion healing and remission of symptoms were observed within 21 days.
Oralna mijaza je retko oboljenje koje najcesce pogadja zemlje u razvoju, a udruzeno je sa losom oralnom higijenom, supurativnim lezijama, izrazenim zadahom i drugim predisponirajucim faktorima. Ovaj rad opisuje slucaj oralne mijaze kod 22-godisnje pacijentkinje koja je dosla sa akutnim otokom gornje usne, ekstenzivnom nekroticnom lezijom u frontalnoj regiji gornje vilice i izrazenim zadahom. Dijagnoza je postavljena na osnovu klinicke slike i vizuelne potvrde postojanja larvi. Terapija je obuhvatila hirursku eksploraciju u cilju uklanjanja larvi i nekroticnog tkiva kao i kiretazu i uputstva o odrzavanju oralne higijene. Posle terapije, larve su uklonjene i postignuta je kompletna regeneracija i povlacenje simptoma u periodu od 21 dana.