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Maggot therapy following orbital exenteration
  1. Adrian Gericke,
  2. Esther M Hoffmann,
  3. Susanne Pitz,
  4. Norbert Pfeiffer
  1. Department of Ophthalmology, University of Mainz, Mainz, Germany
  1. Adrian Gericke, MD, Department of Ophthalmology, University of Mainz, Langenbeckstrasse 1, 55101 Mainz, Germany; adrian.gericke{at}gmx.net

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Orbital exenteration is a radical surgery reserved for the treatment of locally invasive or potentially life-threatening orbital tumours.1 Complications occur after 20–25% of exenterations and include tissue necrosis (6%) and infection (3–4%).24 In the present report, we describe the management of a post-exenteration orbital infection by the use of maggots.

Case report

An 82-year-old multimorbid man presented with a fist-sized painless tumour of the left orbit (fig 1A). Computed tomography demonstrated an orbital mass clearly demarcated from the surrounding tissue (fig 1B). After biopsy, the neoplasm was classified as a borderline-malignant extrapleural solitary fibrous tumour. Therefore, a total orbital exenteration was performed, and the wound was left open to …

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