The Journal of Laryngology & Otology

(RF) Otorhinolaryngology

The use of maggots in head and neck necrotizing fasciitis

Christopher Dunn a1, Ullas Raghavan a1 and A. G. Pfleiderer 
a1 Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK

Article author query
pfleiderer ag   [PubMed][Google Scholar] 


Historically maggots have been used to clean necrotic war wounds. With the ready availability of sterile maggots, they are being used increasingly in surgical practice.

Although maggots have most frequently been employed in the management of necrotic wounds and ulcers involving the lower limb, we have identified a particularly useful application in the head and neck and describe a case in which maggots played a significant part in the successful treatment of a florid necrotizing cervical fasciitis in a patient, who was unfit for repeated surgical debridement.

Key Words: Larva; Fasciitis; Necrotizing; Head; Neck.