Differential diagnosis of ear pain

Česká verzia

Authors: Veronika Bandúrová ^1,2; Jan Plzák ^1,2; Jan Bouček ^1,3
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha ¹; Anatomický ústav 1. LF UK v Praze ²; Mikrobiologický ústav AV ČR, v. v. i, Praha ³
Published in the journal: Čas. Lék. čes. 2019; 158: 231-234
Category: Review Article

Summary

Ear pain, otalgia, can have many etiologies. Some of these conditions, e.g. impacted ear wax, can be solved easily directly in the outpatient office. On the other hand, inflammations and its complications can also endanger patient’s life. Situation is complicated due to secondary otalgia, when the source of pain is localized in another body region, e.g. oropharynx. Stubbing pain in the ear should be in this case perceived as a warning sign, because it could be caused by spread of primary disease to the parapharynx. Aim of this paper is to provide a summary of the most often causes of ear pain correlated with their typical clinical features, It should help to recognize serious conditions, which can endanger patient´s life.

Keywords:

oropharyngeal cancer – otalgia – otitis media – otitis externa

Zdroje

Harrison E, Cronin M. Otalgia. Aust Fam Physician 2016; 45(7): 493–497.
Forster HV. Diagnosis and treatment of acute otitis media. Br Med J 1931; 2(3692): 645–647.
Al-Husban H. Referred otalgia. J Bahrain Med Soc 2002.
Peuker ET, Filler TJ. The nerve supply of the human auricle. Clin Anat 2002; 15(1): 35–37.
Charlett SD, Coatesworth AP. Referred otalgia: a structured approach to diagnosis and treatment. Int J Clin Pract 2007; 61(6): 1015–1021.
Friedman EM. Removal of foreign bodies from the ear and nose. N Engl J Med 2016; 375(2): 194.
Bressler K, Shelton C. Ear foreign-body removal: a review of 98 consecutive cases. Laryngoscope 1993; 103(4 Pt 1): 367–370.
Subha ST, Raman R. Role of impacted cerumen in hearing loss. Ear Nose Throat J 2006; 85(10): 650–653.
Charlton A, Janjua N, Rejali D. Cotton bud in external ear canal causing necrotising otitis externa and subdural abscess. BMJ Case Rep 2019; 12(3), pii: e227971.
Gold KR, Wester JR, Gold R. Foreign body in external ear canal: an unusual cause of chronic cough. Am J Med 2017; 130(4): e143–e144.
Wipperman J. Otitis externa. Prim Care 2014; 41(1): 1–9.
Rosenfeld RM, Schwartz SR, Cannon CR et al. Clinical practice guideline: acute otitis externa. Otolaryngol Neck Surg 2014; 150(1 Suppl): S1–S24.
Karaman E, Yilmaz M, Ibrahimo M et al. Malignant otitis externa. J Craniofac Surg 2012; 23(6): 1748–1751.
Chen CN, Chen YS, Yeh TH et al. Outcomes of malignant external otitis: survival vs mortality. Acta Otolaryngol 2010; 130(1): 89–94.
Grandis JR, Branstetter BF, Yu VL. The changing face of malignant (necrotising) external otitis: Clinical, radiological, and anatomic correlations. Lancet Infect Dis 2004; 4(1): 34–39.
Pniak T, Mrázková M, Mrázek J a kol. Herpes zoster oticus. Otorinolaryngologie a foniatrie 2006; 55(4): 241–245.
Saguil A, Kane S, Mercado M, Lauters R. Herpes zoster and postherpetic neuralgia: prevention and management. Am Fam Physician 2017; 96(10): 656–663.
Fireman P. Otitis media and eustachian tube dysfunction: connection to allergic rhinitis. J Allergy Clin Immunol 1997; 99(2): S787–S797.
Principi N, Marchisio P, Rosazza C et al. Acute otitis media with spontaneous tympanic membrane perforation. Eur J Clin Microbiol Infect Dis 2017; 36(1): 11–18.
Vergison A et al. Otitis media and its consequences: beyond the earache. Lancet Infect Dis 2010; 10(3): 195–203.
Semaan MT, Megerian CA. The pathophysiology of cholesteatoma. Otolaryngol Clin North Am 2006; 39(6): 1143–1159.
Sun J, Sun J. Intracranial complications of chronic otitis media. Eur Arch Otorhinolaryngol 2014; 271(11): 2923–2926.
Penido NDO et al. Intracranial complications of otitis media: 15 years of experience in 33 patients. Otolaryngol Head Neck Surg 2005; 132(1): 37–42.
Nitsche MP, Carreño M. Antibiotics for acute otitis media in children. Medwave 2015; 15: e6295.
Viterbo F, Amr AH, Stipp EJ et al. End-to-side neurorrhaphy: past, present, and future. Plas Reconstr Surg 2009, 124(6 Suppl.): e351–e358.
Chen L, Halmagyi GM. Vestibular neuritis and labyrinthitis. Encyclopedia of the Neurological Sciences. Elsevier, Amsterdam, 2014.
Sekhar LN, Pomeranz S, Janecka IP et al. Temporal bone neoplasms: a report on 20 surgically treated cases. J Neurosurg 1992; 76(4): 578–587.
Gurgel RK, Karnell LH, Hansen MR. Middle ear cancer: a population-based study. Laryngoscope 2009; 119(10): 1913–1917.
Lim LH, Goh YH, Chan YM et al. Malignancy of the temporal bone and external auditory canal. Otolaryngol Head Neck Surg 2000; 122(6): 882–886.
Beyea JA, Moberly AC. Squamous cell carcinoma of the temporal bone. Otolaryngol Clin North Am 2015; 48(2): 281–292.
Anwar K, Khan S, Shahabi I et al. The frequency of involvement of head & neck sites in referred otalgia – an experience at a tertiary care hospital. Pakistan J Med Sci 2019; 35(4): 1138–1142.
Hammarstedt L, Lindquist D, Dahlstrand H et al. Human papillomavirus as a risk factor for the increase in incidence of tonsillar cancer. Int J Cancer 2006; 119(11): 2620–2623.
Licameli GR. Diagnosis and management of otalgia in the pediatric patient. Pediatr Ann 1999; 28(6): 364–368.
Kim DS, Cheang P, Dover S, Drake-Lee AB. Dental otalgia. J Laryngol Otol 2007; 121(12): 1129–1134.
Jaber JJ, Leonetti JP, Lawrason AE. Cervical spine causes for referred otalgia. Otolaryngol Head Neck Surg 2008; 138(4): 479–485.
Dorsch JN. Neurologic syndromes of the head and neck. Prim Care 2014; 41(1): 133–149.
Elimairi I, Baur DA, Altay MA et al. Eagle’s Syndrome. Head Neck Pathol 2015; 9(4): 492–495.
Stevenson J. Acute bacterial thyroiditis presenting as otalgia. J Laryngol Otol 1991; 105(9): 788–789.

Štítky

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Článek Inner ear disorders

Článek Updating the nationwide methodology for hearing screening of newborns in the Czech Republic

Článek Implantable bone conduction hearing systems

Článek Cochlear Implantation

Článek Chronic inflammation of the middle ear with cholesteatoma

Článek Chronic secretory otitis media and tympanoplasty in children

Článek Diagnostics of retrocochlear hearing loss

Článek Tumors of the temporal bone

Článek . Respiratory epithelial adenomatoid hamartoma – typical but underdiagnosed pathology of nasal cavity and sinuses

Článek The motivation of nurses at departments of internal medicine

Článok vyšiel v časopise