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首页> 美国卫生研究院文献>Case Reports in Ophthalmological Medicine >A Case of Orbital Myiasis in Recurrent Eyelid Basal Cell Carcinoma Invasive into the Orbit
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A Case of Orbital Myiasis in Recurrent Eyelid Basal Cell Carcinoma Invasive into the Orbit

机译：眼睑基底细胞癌复发性眼眶侵犯的眼眶肌病一例

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摘要

Introduction. Orbital myiasis is the infestation of the orbital tissues by fly larvae or maggots. Compromise of periorbital tissues by malignant disease, surgery, ischemia, or infection may predispose the patient to orbital myiasis. Case Report. A 73-year-old male patient with neglected recurrent basal cell carcinoma of the eyelid invasive into the orbit presented with complaints of intense itching and crawling sensation with maggots wriggling and falling from the wound of left orbit. The patient improved following manual removal of the maggots along with oral Ivermectin treatment. Recurrence of the basal cell carcinoma was confirmed by punch biopsy from the wound and extended exenteration of the orbit followed by reconstructive surgery was done. Conclusion. Orbital myiasis is a rare and preventable ocular morbidity that can complicate the malignancies resulting in widespread tissue destruction. The broad spectrum antiparasitic agent, Ivermectin, can be used as noninvasive means to treat orbital myiasis. In massive orbital myiasis and those associated with malignancies, exenteration of the orbit must be seriously considered.
机译：介绍。眼眶肌病是蝇幼虫或侵染眼眶组织。恶性疾病，手术，局部缺血或感染导致眶周组织受损，可能使患者易患眼眶肌病。案例报告。一名73岁男性患者，其眼睑浸润复发性眼球基底细胞癌被忽略进入眼眶，表现出强烈的瘙痒和爬行感觉，虫蠕动并从左眼眶伤口掉落。手动摘除with虫并口服伊维菌素治疗后，患者情况有所改善。基底细胞癌的复发通过伤口的穿刺活检得到证实，眼眶扩大伸张，然后进行了重建手术。结论。眼眶肌病是一种罕见且可预防的眼病，可使恶性肿瘤复杂化，导致广泛的组织破坏。广谱抗寄生虫药伊维菌素可以用作治疗眼眶肌病的非侵入性手段。在大规模眼眶肌病和与恶性肿瘤有关的眼肌病中，必须认真考虑眼眶的伸张。

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