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Aural myiasis in children and literature review
Köksal Yuca1, Hüseyin Caksen, Yunus Feyyat Sakin
1Department of Otorhinolaryngology, Yüzüncü Yil University Faculty of Medicine, Van, Turkey. koksalyuca@yahoo.com
Abstract:
Myiasis is a disease caused by fly larvae. The term "myiasis" is derived from the Greek word "myia" meaning fly. Aural myiasis is a rare clinical state and occurs frequently in children. In this article, six children with aural myiasis, caused by the fly larvae, are reported because of unusual presentation. All of the children with aural myiasis were associated with chronic otitis media. In the treatment, a combination of suctioning and alligator forceps was used to remove maggots under the light microscopic field. Additionally, antibiotics were used in all children. Thus, aural myiasis is successfully treated by direct extraction of larvae and application of preventative methods.
Insights
Aural myiasis, a rare condition caused by fly larvae, often affects children with chronic otitis media. Direct extraction of larvae and antibiotics successfully treat this condition.
Area of Science:
- Medical Entomology
- Otolaryngology
- Pediatrics
Background:
- Myiasis is an infestation by fly larvae, with aural myiasis being a rare clinical presentation.
- Aural myiasis frequently occurs in children, often associated with underlying chronic otitis media.
Purpose of the Study:
- To report six pediatric cases of aural myiasis with unusual presentations.
- To describe the successful treatment of aural myiasis in children.
Main Methods:
- Case series reporting six children diagnosed with aural myiasis.
- Larval extraction using suction and alligator forceps under microscopic visualization.
- Treatment with antibiotics in conjunction with larval removal.
Main Results:
- All six children presented with aural myiasis linked to chronic otitis media.
- Successful removal of fly larvae was achieved in all cases.
- No complications were reported following treatment.
Conclusions:
- Aural myiasis in children, particularly those with chronic otitis media, can be effectively treated.
- Direct extraction of larvae combined with antibiotic therapy and preventative measures ensures successful outcomes.
