Otalgia or Ear Pain

Last modified: May 30, 2021
Estimated reading time: 4 min

DNB ENT Theory Question June 2016 – a) Enumerate the causes of pain in ear (otalgia). How would you manage a case of otitis externa?

Definition

Otalgia is defined as ear pain.

Types

 Two separate and distinct types of otalgia exist.
• Pain that originates within the ear is primary otalgia.
• Pain that originates outside the ear is referred otalgia.

Source

•Typical sources of primary otalgia are external otitis, otitis media, mastoiditis, and auricular infections.

•When an ear is draining and accompanied by tympanic membrane perforation, simply looking in the ear and noting the pathology can make the diagnosis.

• When the tympanic membrane  appears normal, however, the diagnosis  becomes more difficult.

•Reports document that not all otalgia originates from  the ear. Many remote anatomic sites share dual  innervation with the ear, and noxious stimuli to these  areas may be perceived as otogenic pain.

•By  definition, referred otalgia is the sensation of ear pain  originating from a source outside the ear. 

•Irritation of these  nerves, as well as irritation of distant branches of these nerves, can cause the perception of pain within the ear.

Otalgia
Otalgia

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