Aural Myasis: The changed scenario a case report

Aural myiasis, or otomyiasis, is a rare but significant condition characterized by the infestation of the external and/or middle ear by dipterous larvae. This case report discusses a 27-year-old male with delayed developmental milestones who presented with itching, ear bleeding, and sleep disturbances for three days. Otoscopic examination revealed numerous live maggots in the left external auditory canal, obscuring the tympanic membrane. The mastoid cavity showed granulation, likely due to a prior undocumented surgical procedure.The patient underwent immediate endoscopic-guided removal of 85 live maggots using suction and alligator forceps, with turpentine oil applied to immobilize the larvae. Post-procedure examination revealed an intact but congested tympanic membrane and an inflamed external auditory canal. The patient was treated with antibiotics but was lost to follow-up.Aural myiasis is more commonly observed in individuals with predisposing factors such as chronic suppurative otitis media, mental retardation, poor hygiene, and immunosuppression. Clinical presentation varies, including otalgia, hearing loss, and otorrhea, with severe cases leading to tympanic membrane perforation, mastoiditis, or intracranial complications. Early diagnosis through otoscopic examination is crucial to prevent severe morbidity. Treatment includes mechanical extraction, chemical immobilization of larvae, and antibiotic therapy. In cases of extensive tissue damage, surgical intervention may be necessary.