PMC4993919_01
Clinical photograph showing extent of the wound and manual removal of a maggot.
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fig1
Initially, around 100 maggots were manually removed and debridement of necrotic tissues was done under local anesthesia (Figure 1).
Axial and Coronal section CT scan showing soft tissue density area in left maxillary sinus and left orbit with erosion of the floor and lateral wall of the orbit. No intracranial abnormality seen.
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fig2
The CT scan of orbit and paranasal sinuses revealed left anophthalmic socket with soft tissue lesion in left orbit and maxillary sinus along with erosion of orbital floor and lateral wall of the orbit (Figure 2).
Clinical photograph showing postoperative status following extended exenteration and myocutaneous flap transposition from forehead and temporal region to cover the wound defect and left orbit.
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fig3
Hence, the patient underwent uneventful extended exenteration of the left orbit and the socket was covered by transposition of myocutaneous flap from forehead and temporal region (Figure 3).