Otomyiasis across Life\'s Extremes: Case Reports of an Infant and an Elderly Patient

Introduction:The otolaryngological cavity's myiasis affects the ears, nasal cavities, nasopharynx, paranasal sinuses, oral cavity, as well as the skin of the head and neck region.Otomyiasis, also known as aural myiasis, is an invasion of the ears with dipterous larvae.The severity of an infestation is determined by the fly type, host, and habitat, as well as the host's immune response.Case description: Here, we report two cases of otomyiasis in a child and old-aged female with mental illness from the extremes of life.Discussion: Otomyiasis is a rare infestation of the ears, and only a few cases have been reported.Myiasis can be classified as either facultative or obligatory infestation.Risk factors for otomyiasis include chronic suppurative otitis media, swimming in stagnant water, lower socioeconomic status, cognitive impairments, diabetes, older age, and inadequate personal hygiene.Otomyiasis is generally a self-limiting disease.The treatment is straightforward in most cases, primarily involving the removal of larvae and ear canal irrigation with one or a combination of the following solutions: chloroform, alcohol, oil, normal saline, iodine, or ivermectin.It is crucial to closely monitor patients with intracranial involvement due to otomyiasis, particularly if they exhibit concerning symptoms such as clear otorrhea, seizures, or headaches.Conclusion: Otomyiasis is a rare ear infestation.Furthermore, persistent ear itching, pain, and irritability, particularly in individuals with associated risks such as mental retardation, dementia, and immunosuppression, should be considered for otomyiasis.