Anilkumar S Harugop* and Dhanush Nayak
Department of ENT and HNS, KAHER’s Jawaharlal Nehru Medical College, Belgaum, Karnataka, India
*Corresponding Author: Anilkumar S Harugop, Department of ENT and HNS, KAHER’s Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
Received: November 16, 2022; Published: January 19, 2023
Background: Myiasis is the infestation with dipterous larvae which feed on the host’s dead or living tissue and bodily fluids. Aural myiasis is commonly seen in patients with poor personal hygiene, low socioeconomic status, mental retardation, diabetes mellitus, child neglect and old age.
Case Description: An 18 year old male presented with right ear pain and blood stained discharge since 5 days. Patient gives history of right ear surgery (modified radical mastoidectomy) 8 years back. On clinical examination, blood stained discharge was seen in the external auditory canal and multiple maggots were seen to fill the canal and mastoid cavity, which were manually removed under otoendoscopic visualisation with forceps. On subcutaneous dissection of tissues, a communication was seen to the external auditory canal, containing 2 maggots within this pocket, which was subsequently removed.
Literature Review: Myiasis is a type of parasitosis caused by the larvae of diptera. Certain populations are particularly susceptible to infestation, including children younger than 10 years of age and adults with mental or physical disabilities and it also requires a rare combination of environmental, social and medical risk factors. Following infestation patients can present with maggots in the external auditory canal, otalgia, foul smelling/blood tinged otorrhoea, perforation of the tympanic membrane, bleeding.
Clinical Relevance: Patients who have undergone modified radical mastoidectomy who ignore symptoms, infrequent follow up post surgery, maintain poor personal hygiene are at high risk of developing aural myiasis as seen in this patient. Hence follow up after such a procedure is of utmost importance.
Keywords: Aural Myiasis; Modified Radical Mastoidectomy; Ignorance
Citation: Anilkumar S Harugop and Dhanush Nayak. “Mastoid Cavity Myiasis: Result of Ignorance – A Case Report".Acta Scientific Otolaryngology 5.2 (2023): 37-40.
Copyright: © 2022 Anilkumar S Harugop and Dhanush Nayak. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.