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Case report highlights treatment and recurrence in mastoid myiasis linked to poor hygiene and diabetes.
Mastoid cavity myiasis is a rare but important differential diagnosis. While otomyiasis mainly occurs in tropical regions, it is a diagnosis in patients with a history of radical mastoidectomy presenting with otalgia or otorrhea, particularly in those with diabetes or poor hygiene. Prompt mechanical removal of larvae combined with antiseptic irrigation and systemic antibiotics is an effective and sufficient treatment, typically preventing recurrence or complications.
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Hefty et al. (2025) studied this question.
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