{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:20:38Z","timestamp":1777562438481,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:p>Atrophic rhinitis (AR) is a chronic nasal disease characterized by atrophy of the nasal mucosa and turbinates. Occasionally, nasal myiasis complicates AR. This case illustrates an uncommon complication of nasal myiasis, palatal perforation. A 35-year-old South Asian woman presented with recurrent bilateral epistaxis and expulsion of maggots from the nose. She had a history of nasal obstruction, foul-smelling nasal discharge, and anosmia. On examination, the patient had atrophied nasal turbinates and later developed 2 perforations in the palate. She was offered conservative management for AR. Besides, she underwent manual and endoscopic removal of maggots in multiple settings and was isolated in a mosquito net to prevent reinfestation. Nasal myiasis can complicate AR in tropical regions. Early diagnosis of AR and simple prophylactic measures, such as nasal douching and use of mosquito nets while sleeping, can prevent complications such as palatal perforation and intracranial extension caused by nasal myiasis.<\/jats:p>","DOI":"10.1177\/01455613251324351","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T12:21:31Z","timestamp":1741782091000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Palatal Perforation Due to Nasal Myiasis in a Patient With Atrophic Rhinitis: A Case Report"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3815-8236","authenticated-orcid":false,"given":"Aayucee","family":"Agrawal","sequence":"first","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8439-0961","authenticated-orcid":false,"given":"Shivam","family":"Pandey","sequence":"additional","affiliation":[{"name":"B.P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishnandan","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"An updated review on atrophic rhinitis and empty nose syndrome","volume":"14","author":"Sumaily IA","year":"2023","unstructured":"Sumaily IA, Hakami NA, Almutairi AD, et al. An updated review on atrophic rhinitis and empty nose syndrome. Ear Nose Throat J. 2023;14:01455613231185022.","journal-title":"Ear Nose Throat J"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.15562\/bmj.v11i3.3660"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00010-11"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.18203\/issn.2454-5929.ijohns20220468"},{"issue":"2","key":"e_1_3_3_6_2","first-page":"120","article-title":"Nasal myiasis","volume":"13","author":"Sinha V","year":"2006","unstructured":"Sinha V, Shah S, Ninama M, et al. Nasal myiasis. J Rhinol. 2006;13(2):120-123.","journal-title":"J Rhinol"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100156695"},{"issue":"3","key":"e_1_3_3_8_2","first-page":"125","article-title":"Characteristics of atrophic rhinitis in Thai patients at the Siriraj Hospital","volume":"37","author":"Bunnag C","year":"1999","unstructured":"Bunnag C, Jareoncharsri P, Tansuriyawong P, Bhothisuwan W, Chantarakul N. Characteristics of atrophic rhinitis in Thai patients at the Siriraj Hospital. Rhinology. 1999;37(3):125-130.","journal-title":"Rhinology"},{"issue":"1","key":"e_1_3_3_9_2","first-page":"404075","article-title":"Primary atrophic rhinitis: a clinical profile, microbiological and radiological study","volume":"2012","author":"Bist SS","year":"2012","unstructured":"Bist SS, Bisht M, Purohit JP. Primary atrophic rhinitis: a clinical profile, microbiological and radiological study. Int Sch Res Notices. 2012;2012(1):404075.","journal-title":"Int Sch Res Notices"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1999.00639.x"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/014556131509400719"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.19-0708"},{"issue":"1","key":"e_1_3_3_13_2","first-page":"58","article-title":"Endoscopic management of nasal myiasis: a 10 years experience","volume":"6","author":"Ranga KR","year":"2013","unstructured":"Ranga KR, Yadav SP, Goyal A, Agrawal A. Endoscopic management of nasal myiasis: a 10 years experience. Clin Rhinol. 2013;6(1):58-60.","journal-title":"Clin Rhinol"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4172\/2376-032X.1000192"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000819"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijps.IJPS_84_18"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251324351","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613251324351","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251324351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:36:15Z","timestamp":1777401375000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613251324351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,12]]},"references-count":15,"alternative-id":["10.1177\/01455613251324351"],"URL":"https:\/\/doi.org\/10.1177\/01455613251324351","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,12]]},"article-number":"01455613251324351"}}