Oral myiasis: Analysis of cases reported in the English literature from 1990 to 2020

Autor: Eugênia Leal de Figueiredo, José Alcides Almeida de Arruda, Leni Verônica de Oliveira Silva, Isabella Bittencourt do Valle, Lucas Guimarães Abreu, Luiza Vale Coelho, Mariana Avelino de Souza Santos, Ricardo Alves Mesquita, Juliana Bianchi Souza Dos Passos
Rok vydání: 2020
Předmět:
Zdroj: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryREFERENCES. 41(1)
ISSN: 1754-4505
Popis: Myiasis is an infection caused by the deposition of fly larvae in tissues, and its involvement in the human oral cavity is uncommon. Herein, we have performed a data analysis of published cases of oral myiasis. A search was performed in PubMed, Ovid, Web of Science, Scopus, and LILACS. Geographic distribution, demographic data, associated factors, clinical features, fly types, treatment, and presence of sequelae were analyzed. A total of 122 articles reported the cases of 157 infected individuals. The most affected countries were India (41%) and Brazil (29.5%). Male predominance (67.5%) and a mean of 41.9 years of age were observed. The gingiva (29%) was the most affected site, followed by palate (25%) and lip (21%). There were different forms and combinations of treatments: manual removal of larvae and surgical debridement, application of asphyxiating substances, antibiotic therapy, and use of ivermectin. The condition predominantly affects individuals with neurological and/or locomotor disabilities, of low socioeconomic status, with poor oral hygiene and chemical dependence and individuals with previous injuries or with the absence of lip sealing. The establishment of a standard treatment protocol, enabling comparison in future studies and providing uniformity in treatment strategies offered by health services is strongly recommended.
Databáze: OpenAIRE