ORAL MYIASIS OF THE MAXILLA: A RARE CASE REPORT

Oral myiasis is a rare parasitic infection caused by fly larvae (maggots) invading oral tissues. It typically presents in individuals with poor oral hygiene, nutritional deficits, or impaired immune function, especially among those with debilitating illnesses or mental health disorders. The condition is also associated with oral trauma, facial injuries, or necrotic lesions. Commonly implicated fly species include Musca nebulo,Cochliomyiahominivorax,Chrysomyabezziana etc. Patients may exhibit symptoms including pain, swelling, malodor, and discharge, along with a sensation of movement within the affected tissues. In severe cases, tissue necrosis and secondary infections may occur,potentially resulting in systemic complications. Diagnosis is primarily clinical and is confirmed through the visual identification of larvae in the oral cavity. Treatment entails the mechanical removal of larvae, followed by extensive debridement and antiseptic irrigation. Adjunctive antibiotic therapy may be administered to prevent secondary bacterial infections. Local anesthetics or sedatives maybe utilized to facilitate the extraction of larvae. Preventive measures include maintaining proper oral hygiene, addressing underlying health conditions, and minimizing fly exposure in susceptible individuals. Despite its rarity, early recognition and prompt intervention in cases of oral myiasis are essential to prevent tissue damage and enhance patient outcomes. This case underscores the importance of awareness regarding this uncommon yet potentially serious condition, particularly among vulnerable populations.