Causes of referred otalgia: a hospital-based study
Keywords:Referred, Dental, Otalgia
Background: The aim of our study was to evaluate various etiologies of referred otalgia.
Methods: The present study was conducted in the department of ENT, SMGS Hospital, GMC Jammu from January 2019 to January 2020. A total of 65 patients with complaint of pain in ear but normal ear examination was included in our study. All patients underwent complete ENT examination.
Results: The most common cause for referred otalgia was dental pathology (58.4%), followed by pharyngitis (16.9%), tonsillitis (10.7%), supraglottic cancer (7.6%), cervical spine pathology (3.07%) and peritonsillar abscess (3.07%).
Conclusions: Otalgia is a symptom with diverse causes. Though many causes are otogenic, referred pain from other regions of head and neck is also very common.
Powers WH, Britton BH. Nonotogenic otalgia: diagnosis and treatment. Am J Otol. 1980;2:97-104.
Ely JW, Hansen MR, Clark EC. Diagnosis of ear pain. Am Fam Physician. 2008;77(5):621-8.
Shah RK, Blevins NH. Otalgia. Otolaryngol Clin North Am. 2003;36:1137-51.
Olsen KD. The many causes of otalgia- infection, trauma, cancer. Postgrad Med. 1986;80:50-63.
Thaller SR. Otalgia with a normal ear. Am Fam Physician. 1987;36:129-36.
Wazzen JJ. Referred Otalgia. Otolaryngol Clin North Am. 1989;22:1205-15.
Charlett SD, Coatesworth AP. Referred otalgia: a structured approach to diagnosis and treatment. Int J Clin Pract. 2007;61(6):1015-21.
Chen RC, Khorsandi AS, Shatzkes DR, Holliday RA. The radiology of referred otalgia. Am J Neuroradiol. 2009;30:1817-23.
Taboo ZA, Buraa MF. Etiology of referred otalgia. Iraqi Postgrad Med J. 2013;12(3):436-42.
Siamak M, Mohammad J, Maryam B. Prevalence of referred pain with pulpal origin in the head, face and neck region. IEC. 2008;3.
Kiakojoori K, Tavakoli HR. Cases of referral otalgia in patients referred to Shahid Beheshti clinic babol 1999. J Babol Univ Med Sci. 2002;5(1):41-3.
Taziki MH, Behnampour N. A study of the etiology of referred otalgia. Iran J Otorhinolaryngol. 2012;24(69):171-6.
Jaber JJ, Leonetti P, Lawrason A. Cervical spine causes for referred otalgia. Otolaryngol Head Neck Surg. 2008;138:479-85.
Kim D, Cheang P, Dover S. Dental otalgia. J Laryngol Otol. 2007;121:1129-34.
Behnoud F, Zandi M. Survey etiologic factor in otalgia and correlation with temporomandibular joint in patient referred to ENT clinic in Emam khomani hospital in Hamedan Jul-Nov 2000. Hamedan University of Medical Sciences, College of medicine: Hamedan; 2000.