case_images: PMC6955112_01
case_images: Axial section of computed tomography revealing fracture of mandibular symphysis.
case_images: CRIPA2019-5393405.001.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.001.jpg
case_images: fig1
case_images: During the clinical examination, signs suggestive of mandibular fractures were observed, which were confirmed by imaging examinations, closing the diagnosis of symphysis and mandibular condyles fracture (Figure 1).
case_images: Rigid internal fixation of mandibular symphysis fracture with 2.0 system miniplates.
case_images: CRIPA2019-5393405.002.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.002.jpg
case_images: fig2
case_images: Surgery was performed without complications and the patient was discharged after 24 hours, referred home with oral antibiotic therapy (amoxicillin 500 mg, 8/8 hours for 7 days) and scheduled outpatient return (Figure 2).
case_images: Clinical view from the primary surgery, showing larval infestation.
case_images: CRIPA2019-5393405.003.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.003.jpg
case_images: fig3
case_images: After five days, he returned with dehiscence in the surgical wound and the clinical examination revealed the presence of larvae in the symphisis (Figure 3).
case_images: Iodorform compound used topically to facilitate the larval removal.
case_images: CRIPA2019-5393405.004.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.004.jpg
case_images: fig4
case_images: During the procedure, approximately 250 larvae were removed and topical iodoform was applied (Figure 4).
case_images: Sagital section of computed tomography contrast enhanced, revealing extensive damage to the suprahyoid soft tissues.
case_images: CRIPA2019-5393405.005.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.005.jpg
case_images: fig5
case_images: A computed tomography was performed for suprahyoid space examination, due to the extensive tissue destruction and the impossibility of evaluation of deeper larvae (Figure 5).
case_images: Ortopantomogram radiography showing internal rigid fixation with 2.4 mm reconstruction plate.
case_images: CRIPA2019-5393405.006.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.006.jpg
case_images: fig6
case_images: The miniplates were replaced by a 2.4 mm reconstruction plate and again the patient underwent antibiotic therapy (IV) (Figure 6).
case_images: Final clinical aspect, with complete wound healing.
case_images: CRIPA2019-5393405.007.jpg
case_images: PMC6955112_01_CRIPA2019-5393405.007.jpg
case_images: fig7
case_images: Despite this, there was remission of the condition and complete closure of the wound in 15 days, after the last surgical intervention, without significant sequelae (Figure 7).