Gosh there wuz a lady who came in end of last week with advanced squamous cell carcinoma of the mouth from years of taking sirih. She hadn't been taken care of properly so the cancer has eaten away the whole of her right cheek and jaw so you can see the teeth and tongue. That part of the face is also a boiling mass of maggots, crawling and squirming among the crags and crevices of rotting tissue. When I opened the bandage that day the maggots lifted up their tiny black heads in my direction so it wuz as if many little black eyes turned to stare at me from the ruined flesh. Ugh!

The problem is that after a few minutes all of them creep back deep into the face so it's really difficult to catch them. We've ruled out turpentine dressing as the lady can aspirate, and suction didn't work as we could not reach into the many pits and recesses to draw the maggots out.

At a loss of what to do. Any ideas?