Oral myiasis affecting paediatric patients: a systematic review

J Stomatol Oral Maxillofac Surg. 2022 Jun;123(3):e32-e36. doi: 10.1016/j.jormas.2021.07.006. Epub 2021 Jul 11.

Abstract

Introduction: Oral myiasis is a rare condition caused by Dipteran larvae that feed on living or dead tissues, ingested food or body fluids. It affects immunocompromised individuals with low socioeconomic status or those unable to maintain proper hygiene. Cases of oral myiasis are scarce but debilitating in children. We conducted a systematic review to understand the nature of disease, its causative factors, treatment and ways to prevent the occurrence of this condition among children.

Methodology: The review was carried out in accordance with Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. A systematic electronic literature search was conducted on major databases using keywords in combination with Boolean Operators. Manuscripts discussing cases of oral myiasis in paediatric patients were included in the review.

Results: The exhaustive literature search and evaluation of full texts revealed 32 studies that fulfilled the inclusion criteria. A total of 68 cases of oral myiasis were reported from 2 to 16 years of children, majorly involving gingiva of maxillary anterior region and palate.

Conclusion: The dreadful condition of myiasis can be prevented by decreasing the number of flies, maintenance of good hygiene and by educating the susceptible population. Affected children must be managed by following proper treatment regimens.

Keywords: Oral myiasis; Paediatric patients; Treatment protocol.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Animals
  • Child
  • Gingiva
  • Humans
  • Larva
  • Myiasis* / diagnosis
  • Myiasis* / epidemiology
  • Myiasis* / therapy