Nevertheless, there is historical and scientific data which documents the antibacterial and growth-promoting properties of maggots. Studies cite 3 distinct actions that are responsible for the positive clinical effects of maggot debridement therapy:
Furthermore, medical maggots secrete substances such as calcium carbonate, allantoin, and urea. These substances change the pH environment of the wound to promote further healing. Sherman states that the enzymes secreted by the maggots gain access to the deeper, necrotic tissue through the mechanical debridement action of the maggot's mouth hooks. The hooks are 2 probing appendages located near their toothless mouth and are used for locomotion.
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