LAUSR

© 2017 Indian Journal of Anaesthesia | Published by Wolters Kluwer ‐ Medknow using oxygen, nitrous oxide, and sevoflurane administered through the tracheostomy tube using a Jackson–Rees modification of Ayre's T-piece. Intubation was attempted with 4, and then, 3.5-mm endotracheal tube which we failed to negotiate. A size of 3-mm tube could be inserted snugly. Surgeons evaluated the stoma and cleared nearly 50–70 live maggots and cleaned the stoma using povidione-iodine [Figure 1b]. TT 3.5-mm ID was reinserted. Subsequent perioperative period was uneventful. The surgeons decided not to explore the trachea to extract the already migrated maggots because at that time, there were no clinical signs of airway obstruction by the worms and air entry was bilaterally equal. The stomal site gradually healed, and the child was successfully decannulated after 18 days and discharged with thorough advice about home care and hygiene to the parents. Few cases of tracheostomal myiasis have been reported in the literature.[1-4]