A rare case of carotid artery injury during maggot debridement therapy for locally advanced parotid gland carcinoma.

Autor: Bozorgmehr R; Department of General Surgery, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Rezaei MM; Department of General Surgery, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Jafarabadi K; Department of General Surgery, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran., Alibeik N; Department of Internal Medicine, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran., Rahimian N; Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), Tehran, Iran., Ahmadinejad M; Department of General Surgery, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. Electronic address: md.m.ahmadinejad@gmail.com.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2023 Oct; Vol. 111, pp. 108844. Date of Electronic Publication: 2023 Sep 16.
DOI: 10.1016/j.ijscr.2023.108844
Abstrakt: Introduction and Importance: Maggot debridement therapy (MDT) is a treatment for chronic ulcers that involves using live larvae to debride the wound.
Case Presentation: We report a case of serious arterial bleeding in the cervical region in a 52-year-old woman who was hospitalized in Iran for a malignant ulcer of the retro-auricular area. The patient was brought to the hospital by Emergency medical service due to severe hemorrhagic shock.
Clinical Discussion: Debridement is a commonly used method for wound management, aimed at reducing the risk of infection and removing ulcer debridement. Several techniques are available for debridement of chronic wounds, including mechanical, surgical, autolytic, and enzymatic methods, each with its own advantages and disadvantages.
Conclusion: Maggot debridement therapy (MDT) is one of these methods that seem to be relatively safer. In this method, some larvae are used for debriding wounds in patients. It is usually used as a last resort treatment but in this case, it was used as a third line after surgery and chemoradiotherapy.
Competing Interests: Conflict of interest statement The authors deny any conflict of interest in any terms or by any means during the study.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE