PMC4336965_01
Clinical photograph showing two extraoral deep necrotic ulcers on the right side
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F1
Two extraoral ulcers were seen [Figure 1] with blood and pus discharge.
Orthopantomograph showing irregular bone destruction from 44 to 48 with floating tooth appearance with 44, 45
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F2
Orthopantomograph showed irregular bone destruction extending from 44 to 48 and soft-tissue shadow was seen, which were suggestive of a malignant lesion [Figure 2].
Removed maggots (Case 1)
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F3
Mechanical removal of larvae was done using turpentine oil along with surgical debridement of necrotic tissue [Figure 3].
Well-differentiated squamous cell carcinoma (x10). Section showing connective tissue infiltration by tumor cells and keratin pearls (Case 1)
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F4
Overall features were of well-differentiated squamous cell carcinoma [Figure 4].
PMC4336965_02
Extensive necrotic wound with maggots
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F5
On extraoral examination, a large necrotic wound was seen, with complete through and through destruction of the overlying skin and mucosa, exposing the mandible and part of maxilla, along with crawling maggots [Figure 5].
Removed maggots (Case 2)
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F6
Around 60 maggots were removed [Figure 6] one by one using tweezers and the wound was irrigated with saline, followed by the placement of dressing.
Poorly differentiated squamous cell carcinoma (x10). Section showing tumor epithelial cells infiltrating the stroma (Case 2)
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F7
The histopathological features were suggestive of poorly differentiated squamous cell carcinoma [Figures 7a and b].