Conclusion
Otomyiasis is a very rare disease of the ear that is caused by an
infestation of fly larvae. The commonest genera causing myiasis belongs
to Sarcophagidae. The predisposing factors include mental impairment,
elderly, diabetes, chronic purulent otitis media, homelessness,
alcoholism, and peripheral vascular disease. The clinical manifestations
are otalgia, offensive otorrhea, aural fullness, bleeding, itching, a
roaring sound, tinnitus, vertigo, and furuncles of the external auditory
canal when larvae are present in the ear. The management of aural
myiasis involves removing the larvae and irrigating the ear with normal
saline or chloroform solution.