Case Report and Literature Review on Tracheostomal Myiasis: Clinical Presentation, Challenges, and Treatment.

Tracheostomal myiasis, the infestation of a tracheostomy site by fly larvae, is an uncommon and challenging condition, with limited cases reported in the medical literature. This case report aims to describe both the clinical presentation and management of tracheostomal myiasis in a patient with multiple comorbidities. The patient presented with foul-smelling discharge and visible maggots at the tracheostomy site. Management involved manual removal of larvae, surgical debridement, irrigation with iodine solution, and sealing the stoma with paraffin ointment. This case highlights the need for clinician awareness of this rare complication, particularly in patients with compromised health, and highlights the importance of preventive care and early intervention. As a single case report, it reflects the experience within a broader context of managing tracheostomy-related complications.