Although myiasis is not a frequently encountered case in otorhinolaryngology practice, reported cases often involved the nose, ear and pharynx in rank order. Myiasis of tracheotomy wound is extremely rare. Lucilia larvae tend to infest the wound tissue (e.g. tracheotomy) rather than healthy tissues. Older and lonely patients with tracheotomy should be controlled by primary health care periodically. We report a Lucilia sericata myiasis in tracheotomy wound of an 80-year-old male patient who lived alone and had decreased hearing and vision due to senility.