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CASE REPORTS

A Case of Nasal Myiasis in a Patient with Intestinal Type Sinonasal Adenocarcinoma
İntestinal Tip Sinonazal Adenokarsinomlu Bir Hastada Nazal Miyazis Olgusu
Received Date : 25 Feb 2021
Accepted Date : 11 Apr 2021
Available Online : 19 Apr 2021
Doi: 10.24179/kbbbbc.2021-82613 - Makale Dili: EN
KBB ve BBC Dergisi. 2022;30(1):45-8
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Miyazis; sinek, sivrisinek, tatarcık larvalarının hayvan veya insanlara yerleşerek, onların ölü veya canlı dokularıyla veya sindirdikleri besinlerle beslenerek yaptıkları infestasyondur. Nazal kavitenin miyazisi, sık görülen bir durum değildir. Özellikle sosyoekonomik düzeyi yetersiz, bakıma muhtaç kişilerde ve malignite zemininde bu durumla karşılaşılabilmektedir. Sağlıklı kişilerde görülmesi oldukça nadirdir. Tedavisinde net bir algoritma olmamakla beraber salinli irrigasyon ve endoskopi eşliğinde günlük debridman yapılması fayda sağlayacaktır. Burada, 2 sene önce nazal kaviteyi tamamen dolduran kitleden alınan biyopsi sonucu intestinal tip sinonazal adenokarsinom olarak raporlanan, ancak bu süreçte herhangi bir tedavi almamış olan 82 yaşındaki erkek hastada gelişen nazal miyazis olgusunu sunduk.
ÖZET
Myiasis is an infestation caused by fly, mosquito or midge larvae settling on animals or humans and feeding on dead or living tissues or nutrients digested by them. Myiasis of the nasal cavity is an uncommon entity. It may particularly be encountered in individuals with low socioeconomic levels in need of care or against a background of malignancy, but is very rare in healthy individuals. While there is no clear algorithm, daily endoscopy-guided debridement with saline irrigation will be beneficial in treatment. We report a case of nasal myiasis in an 82-year-old male patient reported as intestinal type sinonasal adenocarcinoma following biopsy taken from a mass completely filling the nasal cavity two years previously, but who had received no treatment during that time.
KAYNAKLAR
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