FESSDRRAJINI

EAR ACHE (OTALGIA)

INTRODUCTION
PAIN IN THE EAR CAN BE DUE TO PROBLEM IN THE EAR OR FROM REMOTE AREAS.

LOCAL CAUSES
OUTER EAR OR EXTERNAL EAR

IMPACTED WAX,OTOMYCOSIS(FUNGUS),FURUNCLE HERPES ZOSTER,OTITIS EXTERNA.

MIDDLE EAR
ACUTE OTITIS MEDIA
EUSTACHIAN TUBE OBSTRUCTION,MASTOIDITIS,EXTRADURAL ABSCESS.

REFERED CAUSES
EAR RECEIVES NERVE SUPPLY FROM 5TH,9TH 10TH CRANIAL NERVES SO PAIN MAY BE REFERRED FROM THESE AREAS.

VIA 5TH NERVE

• A) DENTAL
• CARIESTOOTH, IMPACTED MOLAR, MAL OCCLUSION.

• B) ORAL CAVITY
• ULCERATIVE LEISION OF ORAL CAVITY OR TONGUE.

• C) TEMPEROMANDIBULAR JOINT DISORDER

• OSTEO ARTHRITIES,RECURRENT DISLOCATION ILL FITTING DENTURES.

• D) SPHENOPALATINE NEURALGIA.
VIA 9TH NERVE
• A) OROPHARYNX
• ACUTE TONSILLITIS,PERITONSILLAR ABSECSS ,AFTER TONSILLECTOMY.
• ULCERS OF SOFT PALATE,TONSILS AND PILLARS.

• B) BASE OF TONGUE
• TUBERCULOSIS OR CANCER.

• C) ELONGATED STYLOID PROCESS.

VIA 10 TH NERVE
CANCER OR ULCERATIVE LEISIONS OF EPIGLOTTIS,LARYNX,OR ESOPHAGUS

VIA C2 AND C3 SPINAL NERVES.TUBERCULOSIS OF SPINE,SPONDYLOSIS OF SPINE OR INJURY TO THE SPINE,

PSYCHOGENIC CAUSE.
PAIN MAY BE FUNCTIONAL AND PATIENTS MUST BE KEPT ON PERIODIC RE EVALUATION .

CONCLUSION

OTALGIA IS A SYMPTOM SO IT IS ESSENTIAL TO FIND THE CAUSE ,THEN SPECIFIC TRAETMENT CAN BE GIVEN.

Labels: EAR PAIN