case_images: PMC4336965_01
case_images: Clinical photograph showing two extraoral deep necrotic ulcers on the right side
case_images: DRJ-12-100-g001.jpg
case_images: PMC4336965_01_DRJ-12-100-g001.jpg
case_images: F1
case_images: Two extraoral ulcers were seen [Figure 1] with blood and pus discharge.
case_images: Orthopantomograph showing irregular bone destruction from 44 to 48 with floating tooth appearance with 44, 45
case_images: DRJ-12-100-g002.jpg
case_images: PMC4336965_01_DRJ-12-100-g002.jpg
case_images: F2
case_images: Orthopantomograph showed irregular bone destruction extending from 44 to 48 and soft-tissue shadow was seen, which were suggestive of a malignant lesion [Figure 2].
case_images: Removed maggots (Case 1)
case_images: DRJ-12-100-g003.jpg
case_images: PMC4336965_01_DRJ-12-100-g003.jpg
case_images: F3
case_images: Mechanical removal of larvae was done using turpentine oil along with surgical debridement of necrotic tissue [Figure 3].
case_images: Well-differentiated squamous cell carcinoma (x10). Section showing connective tissue infiltration by tumor cells and keratin pearls (Case 1)
case_images: DRJ-12-100-g004.jpg
case_images: PMC4336965_01_DRJ-12-100-g004.jpg
case_images: F4
case_images: Overall features were of well-differentiated squamous cell carcinoma [Figure 4].
case_images: PMC4336965_02
case_images: Extensive necrotic wound with maggots
case_images: DRJ-12-100-g005.jpg
case_images: PMC4336965_02_DRJ-12-100-g005.jpg
case_images: F5
case_images: On extraoral examination, a large necrotic wound was seen, with complete through and through destruction of the overlying skin and mucosa, exposing the mandible and part of maxilla, along with crawling maggots [Figure 5].
case_images: Removed maggots (Case 2)
case_images: DRJ-12-100-g006.jpg
case_images: PMC4336965_02_DRJ-12-100-g006.jpg
case_images: F6
case_images: Around 60 maggots were removed [Figure 6] one by one using tweezers and the wound was irrigated with saline, followed by the placement of dressing.
case_images: Poorly differentiated squamous cell carcinoma (x10). Section showing tumor epithelial cells infiltrating the stroma (Case 2)
case_images: DRJ-12-100-g007.jpg
case_images: PMC4336965_02_DRJ-12-100-g007.jpg
case_images: F7
case_images: The histopathological features were suggestive of poorly differentiated squamous cell carcinoma [Figures 7a and b].