What Causes Otalgia

What Causes Otalgia

  • Common cause of otalgia;
  • causes include: 
    • Temporomandibular joint syndrome (eg, from gum chewing, bruxism, or recent dental procedure)
    • Upper aerodigestive tract malignancy
    • Dental pathologies (eg, caries, impacted molars)
    • Tonsillitis
    • Peritonsillar abscesses
    • Retropharyngeal abscesses
    • Carotidynia
    • Styloid process elongation
    • Angina
    • Intrathoracic aneurysms
    • Glossopharyngeal neuralgia
    • Geniculate neuralgia
  • As opposed to patients with otitis externa, patients with referred pain have normal external auditory canal examination results
  • Differentiate with history and physical examination and additional focused diagnostic work-up based on clinical suspicion of specific underlying cause to further delineate alternate underlying pathology as indicated
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