Dr.ROULI SUD

Dr. SUMEET KHANDUJA, Dr.PALLAVI SHARMA

Abstract

Ophthalmomyiasis accounts for 5–14% of all cases of human myiasis. Predisposing factors include open wounds, suppurative lesions and diabetes.An 18 year old debilitated male diabetic patient presented with mucormycosis and extensive oculofacial myiasis ,involving the left orbit extending to left maxillary, ethmoid sinus, middle and inferior turbinate and maxilla.The left orbit was autoexentrated and teeming with numerous live larvae attached to necrotic tissue.After hemodynamic stabilization surgical debridement was done in association with maxillofacial surgeon.The debrided tissue was sent for fungal and bacterial culture and histopathological examination which confirmed the clinical diagnosis. Post debridement conservative management resulted in appearance of granulation tissue and resolution of infection. The bony defect in the hard palate was then covered by a prosthetic obturator