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Massive airway myiasis: an extreme rarity
  1. Ming Kai Teah1,
  2. Yeen Mei Chu2,
  3. Sakuntala Dewi Shanmuganathan3 and
  4. Tat Boon Yeap4
  1. 1Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  2. 2Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia
  3. 3Anaesthesia and Intensive Care Unit, Hospital Putrajaya, Putrajaya, Malaysia
  4. 4Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
  1. Correspondence to Dr Tat Boon Yeap; boontat{at}


Intubations are important live saving skills to maintain adequate ventilation and oxygenation. Common indications include impending upper airway obstruction, respiratory failure and impaired conscious level. Oral myiasis is an infrequently found disease which is characterised by ectoparasitic infestation of body tissues by fly maggots.

We present a case report and share valuable experiences on a patient with massive airway myiasis causing upper airway obstruction which require emergency intubation.

  • anaesthesia
  • ear
  • nose and throat/otolaryngology

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  • Contributors YMC co-managed this patient intraoperatively with SDS and also a coauthor of this manuscript. MKT is the main author of this manuscript and does most of the literature writing. TBY is a coauthor of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.