Endoscopic Management of Aural Myiasis: Two Decades Experience

Authors: Ranga RK*, Anand A, Yadav SPS, Malik P and Goel A

DOI: 10.23880/ooaj-16000212

Volume 6, Issue 1

Abstract

Background: The present study was undertaken to compare the efficacy of otoendoscopic removal with conventional techniques in aural myiasis patients. Methods: The three hundred and thirty eight, aural myiasis patients in study group were treated using Hopkine rigid otoendoscope, the visible crawling caudal end of maggots was grasped with forceps & removed. Rests were identified from crawling movements or the visible caudal end buried in EAC and middle ear cavity and removed. Complete maggots clearance of ear cavity from EAC to middle ear cavity was done and same was repeated on other side if needed. Equal number of patients were treated using head light. Results: The mean age in two groups was 55.5 years (range 02-68) in aural myiasis patients. There were 56.5% males and 43.5% females. Mean duration of aural symptom in both groups was 2 days. Endoscopically mean number of 42 maggots (range-10- 62) were removed in first sitting as compared to conventional technique where mean of 28 (range 10-48) maggots were removed (p<0.001). The mean duration of endoscopic treatment was 2days whereas in control group it was 6days. The difference was statistically significant (p<0.001). Conclusion: Otoendoscopic procedure is superior to the conventional extraction method for removal of aural maggots. The larvae located in deep and inaccessible areas can be identified and removed easily. The disease was controlled in shorter time and ensures less damage to the middle ear structures.

Keywords: Aural Myiasis; Otoendoscope; Middle ear

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