Aural myiasis associated with chronic suppurative otitis media among hilla children

This study was carried out on thirteen patients whom suffering from chronic suppurative otitis media, all children-suspected with aural myiasis were attended to the ENT department of Hilla Teaching Hospital, during period of four consequent years (2004–2007) in the summer season (April through September). Their ages were ranged from 1– 0 years old, of both sex (7 males and 6 females). A questionnaire paper was performed to each child which state his age, sex, residence, clinical symptoms and case history. All the patients in the field of present study were examined physically and clinically followed by laboratory parasitic examinations, then with the aid of CT scan and x-ray, they were had underwent suction clearance with the surgical intervention. A topical and systemic recommended antibiotics were subjected and formulated to each case of infection, and continued for six months up to their cure. From the obtained results, it's revealed that all chronic suppurative otitis media patients were had middle ear inflammation. From these patients there are 77 % were myiasis-infested patients. The first age group (1–3 years) was presented high myiasis parasitic infestation which was 46 %. There are 54 % of patients were males and 46 % were females, respectively. Ten patients were lived in rural area more than those whom lived in urban area 77 % and 23 % respectively. The pathological findings that associated with all patients were : perforation of ear's tympanic membrane 100 %, polyps formation in middle ear cavity 31 % and formation of granulation tissue 46 %. There were 23 % of infected children were cured conservatively and 62 % of them were of suction clearance with the surgical intervention. The percentage rate of healing was 85%, since patients were seemed good and healthy. اشتملت الدراسة على 13 طفل يشك بإصابته بداء نغف الأذن، جميع الأطفال المرضى كانوا يعانون من التهاب الأذن الوسطى القيحي المزمن، جميعهم راجعوا استشارية قسم الأنف و الأذن و الحنجرة في مستشفى الحلة التعليمي العام، خلال الفترة الزمنية لأربع سنوات متتالية (2004-2007) في فصل الصيف لتلك السنوات (نيسان-أيلول). تراوحت أعمار الأطفال المرضى من سنة إلى عشر سنوات و من كلا الجنسين (7 ذكور و 6 إناث). عملت استمارة استبيان لكل طفل مريض تبين العمر، الجنس، السكن، الأعراض السريرية و تاريخ الحالة المرضية لكل مريض. تم فحص جميع الأطفال المرضى فيزيائيا و سريريا و من ثم عملت الفحوصات الطفيلية لغرض التشخيص. تم توصيف و إعطاء المضادات الحياتية الموضعية و الجهازية المناسبة لكل حالة مرضية في حقل الدراسة. استغرق العلاج مد