B87.3

Clinical Causes: Exposure to environments with high fly populations, especially in rural or unsanitary conditions Poor personal or environmental hygiene Pre-existing nasal or sinus infections that compromise local defenses Immunosuppression or underlying health conditions that weaken immune response Trauma or injury to nasal passages that can provide entry points for larvae

Key Symptoms: Nasal congestion and obstruction Unusual nasal or throat sensations, including crawling or movement sensations Foul-smelling nasal or oral discharge Sneezing and repeated clearing of the throat Facial pain or swelling around the sinuses Difficulty breathing through the nose Itching or irritation in the nasal or nasopharyngeal region In some cases, visible larvae may be seen in nasal discharge or through nasal passages

Diagnosis Path: Diagnosis of nasopharyngeal myiasis involves a thorough clinical examination by a healthcare provider. The doctor may inspect the nasal passages with an endoscope to identify and remove larvae. Imaging tests like X-rays may be used if there are concerns about deep tissue involvement or secondary complications. Laboratory analysis of removed material can confirm the presence of larvae and determine the species involved. Accurate diagnosis is crucial for appropriate treatment and management.

Treatment Protocols: Treating nasopharyngeal myiasis generally involves the removal of larvae and managing secondary infections or inflammation. Methods include: - Mechanical removal: Using forceps or suction to extract visible larvae from the nasal cavity and pharynx. - Irrigation: Rinsing the nasal passages with antiseptic solutions to help dislodge and eliminate remaining larvae. - Medication: Prescribing necessary antibiotics if bacterial infections are present. - Supportive care: Addressing symptoms like pain, congestion, or inflammation. In some cases, surgical intervention may be necessary for extensive infestation or complications. Additionally, addressing the underlying causes, such as improving hygiene and environmental sanitation, can prevent recurrence.