Endoscopy in nasal myiasis

Nasal myiasis is a common disease in tropical and developing countries.The maggots cause extensive necrosis, sloughing and destruction of intranasal tissue and reach to deep and inaccessible areas of the nose and paranasal sinuses. In such a situation removal of maggots is difficult by manual extraction and several sittings are required. To overcome this problem nasal endoscope is being used for removal of maggots under direct vision. In comparing both methods nasal endoscopic procedure is found to be superior to the manual extraction method for removal of maggots.The maggots located in deep and inaccessible area can be approached more easily by endoscopic procedure.The disease is being controlled in shorter time and in few sittings.Thus quick and complete eradication of myiasis is possible before the maggots cause irreparable damage to the intranasal tissues.