Citation Information :
SS S, Badkar P. Management of Palatal Perforation Secondary to Nasal Myiasis in Chronic Atrophic Rhinitis: A Case Report. Clin Rhinol An Int J 2024; 15 (1):37-40.
Atrophic rhinitis is a chronic inflammation of nose characterized by roomy nasal cavities with atrophy of nasal mucosa and turbinates. Loss of sensation predisposes to nasal myiasis which causes the destruction of surrounding soft tissue and bony structure. Here, we report one such case where a middle-aged female patient presented with bilateral progressive nasal obstruction, anosmia and recurrent episodic epistaxis. A detailed investigation revealed atrophic rhinitis characterized by palate erosion due to localized destruction caused by maggots. Treatment involved the manual extraction of maggots, surgical cleaning, modified Young's operation, and the use of a palatal obturator. The patient fully recovered, demonstrating the effectiveness of this combined approach, rendering surgical repair of the palatal perforation unnecessary.
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