Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture
A 42 year old patient was referred to the Department of Oral and Maxillofacial Surgery of the Federal University of Uberlândia, for treatment of mandibular fractures (condyles and symphysis), a victim of a run over. The symphysis was surgically approached, using as surgical access the pre-existing l...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Pathology |
| Online Access: | http://dx.doi.org/10.1155/2019/5393405 |
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| author | Gustavo A. Lauand Felipe G. G. P. Lima Ricardo P. da Silva Larissa Rodrigues Santiago Jonas B. Dantas Cláudia J. Silva Lair M. Furtado |
| author_facet | Gustavo A. Lauand Felipe G. G. P. Lima Ricardo P. da Silva Larissa Rodrigues Santiago Jonas B. Dantas Cláudia J. Silva Lair M. Furtado |
| author_sort | Gustavo A. Lauand |
| collection | DOAJ |
| description | A 42 year old patient was referred to the Department of Oral and Maxillofacial Surgery of the Federal University of Uberlândia, for treatment of mandibular fractures (condyles and symphysis), a victim of a run over. The symphysis was surgically approached, using as surgical access the pre-existing laceration in the submental region. Five days after discharge, the patient returned with dehiscence of the wound and physical examination showed infestation by larvae in the symphysis. Mechanical removal and debridement were performed under local anesthesia, where plate exposure was noted. The patient underwent oral ivermectin therapy, intravenous antibiotic therapy and a thorough debridement was performed under general anesthesia due to the invasion of deep spaces in the supra-hyoid region. After 2 weeks, it presented with purulent drainage at the site. The miniplates were replaced by a 2.4 mm reconstruction plate and antibiotic therapy was maintained. Due to the social risk, the patient remained hospitalized for 45 days, when he was discharged with outpatient return, but did not attend the returns. |
| format | Article |
| id | doaj-art-75f1a80bcd6e462bb2f5956c7057734e |
| institution | Kabale University |
| issn | 2090-6781 2090-679X |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pathology |
| spelling | doaj-art-75f1a80bcd6e462bb2f5956c7057734e2025-08-20T03:35:18ZengWileyCase Reports in Pathology2090-67812090-679X2019-01-01201910.1155/2019/53934055393405Primary Myiasis in Surgical Wound of Mandible Symphisis FractureGustavo A. Lauand0Felipe G. G. P. Lima1Ricardo P. da Silva2Larissa Rodrigues Santiago3Jonas B. Dantas4Cláudia J. Silva5Lair M. Furtado6Clinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilClinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilClinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilClinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilClinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilClinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilClinical Hospital of the Federal University of Uberlândia, Uberlândia, BrazilA 42 year old patient was referred to the Department of Oral and Maxillofacial Surgery of the Federal University of Uberlândia, for treatment of mandibular fractures (condyles and symphysis), a victim of a run over. The symphysis was surgically approached, using as surgical access the pre-existing laceration in the submental region. Five days after discharge, the patient returned with dehiscence of the wound and physical examination showed infestation by larvae in the symphysis. Mechanical removal and debridement were performed under local anesthesia, where plate exposure was noted. The patient underwent oral ivermectin therapy, intravenous antibiotic therapy and a thorough debridement was performed under general anesthesia due to the invasion of deep spaces in the supra-hyoid region. After 2 weeks, it presented with purulent drainage at the site. The miniplates were replaced by a 2.4 mm reconstruction plate and antibiotic therapy was maintained. Due to the social risk, the patient remained hospitalized for 45 days, when he was discharged with outpatient return, but did not attend the returns.http://dx.doi.org/10.1155/2019/5393405 |
| spellingShingle | Gustavo A. Lauand Felipe G. G. P. Lima Ricardo P. da Silva Larissa Rodrigues Santiago Jonas B. Dantas Cláudia J. Silva Lair M. Furtado Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture Case Reports in Pathology |
| title | Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture |
| title_full | Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture |
| title_fullStr | Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture |
| title_full_unstemmed | Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture |
| title_short | Primary Myiasis in Surgical Wound of Mandible Symphisis Fracture |
| title_sort | primary myiasis in surgical wound of mandible symphisis fracture |
| url | http://dx.doi.org/10.1155/2019/5393405 |
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