From the Research
The treatment for nasal myiasis involves manual removal of larvae, nasal saline irrigation, and systemic broad-spectrum antibiotics, as evidenced by the most recent and highest quality study 1. This approach is effective in managing the condition, especially in the absence of bone destruction. The manual extraction of larvae using forceps, followed by nasal saline irrigation, helps to clear the nasal cavity of the infestation. Additionally, the use of systemic broad-spectrum antibiotics prevents secondary bacterial infections, which can complicate the condition. It is also important to note that prevention of reinfestation requires maintaining good hygiene and treating any underlying conditions that may have contributed to the initial infestation, such as chronic sinusitis or nasal polyps. Some key points to consider in the treatment of nasal myiasis include:
- Manual removal of larvae using forceps or suction under direct visualization
- Nasal saline irrigation to clear debris and dead larvae
- Systemic broad-spectrum antibiotics to prevent secondary bacterial infections
- Pain management with acetaminophen or NSAIDs as necessary
- Prevention of reinfestation through good hygiene and treatment of underlying conditions The study by 1 provides the most recent and highest quality evidence for the treatment of nasal myiasis, and its findings support the use of manual removal, nasal saline irrigation, and systemic broad-spectrum antibiotics as the most effective approach. Other studies, such as 2 and 3, also support the use of conservative treatment approaches, but the study by 1 provides the most comprehensive and up-to-date guidance on the management of nasal myiasis. In contrast, older studies, such as 4 and 5, provide less relevant and less reliable evidence, and their findings should be interpreted with caution. Overall, the treatment of nasal myiasis requires a comprehensive approach that includes manual removal of larvae, nasal saline irrigation, and systemic broad-spectrum antibiotics, as well as prevention of reinfestation through good hygiene and treatment of underlying conditions.