title: Myiasis of the external and middle ear.
abstract: Aural myiasis is a rare otolaryngological disease typically seen in poor hygienic conditions and medically disabled patients. We present a case of aural myiasis in a healthy woman who had no apparent risk factors for infestation and required extensive surgical intervention. We also discuss the literature of documented otolaryngological cases of myiasis and effective therapies. In our patient, symptoms of otalgia, otorrhea, and tinnitus resolved after multiple attempts at extraction resulted in successful eradication of larvae. The patient required tympanoplasty to reconstruct the damaged external and middle ear. Physicians should have a clinical suspicion of aural myiasis in patients with a travel history and an atypical presentation of acute otalgia and otorrhea.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
authors.forename: Kyle
authors.initials: K
authors.lastname: Hatten
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Gulleth
authors.forename: Tanya
authors.initials: T
authors.lastname: Meyer
authors.forename: David J
authors.initials: DJ
authors.lastname: Eisenman
mesh_terms: D000328:Adult; D003646:Debridement; D004424:Ear Canal / Q000469:parasitology / Q000601:surgery; D004427:Ear Diseases / Q000469:parasitology* / Q000601:surgery; D004429:Ear Ossicles / Q000000981:diagnostic imaging; D004431:Ear, External / Q000469:parasitology* / Q000601:surgery; D004432:Ear, Middle / Q000469:parasitology* / Q000601:surgery; D004433:Earache / Q000150:complications; D005260:Female; D006801:Humans; D009198:Myiasis / Q000150:complications / Q000175:diagnosis*; D014012:Tinnitus / Q000209:etiology; D014057:Tomography, X-Ray Computed