Medical & Clinical Research

Author(s): Delwar AHM*, Mazumder JA, Rashid MS, Mustafa MG and Swamy KB

Background: Nasal myiasis is a parasitic condition of human being and animal species in which nose and paranasal sinuses infested by Diptera Larvae of Chrysomya albiceps and Oestrus ovis group of flies. It is rare and sporadic, usually occurs in adults, the elderly, debilitated poor, and neglected patients suffering from chronic Sinonasal diseases.

Methods: A cohort retrospective study of 11 cases in the Department of Otolaryngology and Head-Neck Surgery, Comilla Medical College Hospital, Cumilla, Bangladesh from 01 July 2016 to 31 June 2020.

Results: Incidence of nasal myiasis out of total admitted in the inpatient department was 0.03%. Of them, the female was 10 (90.91%), the male 01 (9.09%) (P-value <0.001), age range 35-70 years, the adult was 09 (81.82%), and the elderly 02 (18.18%) (P-value <0.001). The left nostril exhibited 08 (72.73%), and right nostril 03 (27.27%) (P-value <0.05). Social class showed poor was 08 (72.73%), and lower middle class to working 03 (27.27%) (P value< 0.05), villagers was 09 (81.82%), and slum dwellers 02 (18.18%) (P-value <0.001), Sinonasal mass was 07 (63.64%), and atrophic rhinitis 04 (36.36%) (P-value <0.001), Sinonasal malignancy was 06 (85.71%), and benign 01 (14.29%) (P-value <0.001). Conservative traditional treatment was 07 (63.64%), and endoscopic removal 04 (36.36%) (P-value <0.001), recovery without complication was 10 (90.91%), and complication occurred in 01 (9.09%) (P value<.001). Conclusion: Nasal myiasis is a progression of other disease processes of the nose and paranasal sinuses of adults and the elderly in a low socioeconomic group of people. They need extra care medical services to overcome it.