A rare case of carotid artery injury during maggot debridement therapy for locally advanced parotid gland carcinoma

Ramin Bozorgmehr; Mohammad Moein Rezaei; Kyana Jafarabadi; Nazanin Alibeik; Neda Rahimian; Mojtaba Ahmadinejad

doi:10.1016/j.ijscr.2023.108844

A rare case of carotid artery injury during maggot debridement therapy for locally advanced parotid gland carcinoma

Int J Surg Case Rep. 2023 Oct:111:108844. doi: 10.1016/j.ijscr.2023.108844. Epub 2023 Sep 16.

Authors

Ramin Bozorgmehr¹, Mohammad Moein Rezaei¹, Kyana Jafarabadi¹, Nazanin Alibeik², Neda Rahimian³, Mojtaba Ahmadinejad⁴

Affiliations

¹ Department of General Surgery, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
² Department of Internal Medicine, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
³ Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), Tehran, Iran.
⁴ Department of General Surgery, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. Electronic address: md.m.ahmadinejad@gmail.com.

Abstract

Introduction and importance: Maggot debridement therapy (MDT) is a treatment for chronic ulcers that involves using live larvae to debride the wound.

Case presentation: We report a case of serious arterial bleeding in the cervical region in a 52-year-old woman who was hospitalized in Iran for a malignant ulcer of the retro-auricular area. The patient was brought to the hospital by Emergency medical service due to severe hemorrhagic shock.

Clinical discussion: Debridement is a commonly used method for wound management, aimed at reducing the risk of infection and removing ulcer debridement. Several techniques are available for debridement of chronic wounds, including mechanical, surgical, autolytic, and enzymatic methods, each with its own advantages and disadvantages.

Conclusion: Maggot debridement therapy (MDT) is one of these methods that seem to be relatively safer. In this method, some larvae are used for debriding wounds in patients. It is usually used as a last resort treatment but in this case, it was used as a third line after surgery and chemoradiotherapy.

Keywords: Cervical; Chemoradiotherapy; Maggot debridement therapy (MDT); Surgery.

Publication types

Case Reports