OTALGIA

A)LOCAL CAUSES

B)REFERRED CAUSES

C)PSYCHOGENIC

A)LOCAL CAUSESEXTERNAL EAR

FURUNCLE, IMPACETD WAX,OTITIS EXTERNA,OTOMYCOSIS, MYRINGITIS BULLOSA, HERPES ZOSTER, AND MALIGNANT NEOPLASMS.

MIDDLE EARACUTE OTITIS EXTERNA, EUSTACHIAN

TUBE OBSTRUCTION,MASTOIDITIS, EXTRADURAL ABSCESS, AERO-OTITIS MEDIA AND CA MIDDLE EAR

B)REFERRED CAUSES

AN EAR RECEIVES NERVE SUPPLY FROM VTH(AURICULOTEMPORAL BR.) IXTH (TYMPANIC BR) XTH (AURICULAR BR) CRANIAL NERVES C2 AND C3 (GREATER AURICULAR)

PAIN MAY BE REFERRED FROM THESE REMOTE AREAS.

VTH(AURICULOTEMPORAL BR.)-DENTAL ORAL CAVITYTEMPOROMANDIBULAR JOINT

DISORDERSSPHENOPALATINE NEURALGIA

IXTH (TYMPANIC BR) OROPHARYNX BASE OF TONGUE ELONGATED STYLOID PROCESS

XTH (AURICULAR BR) CRANIAL NERVESMALIGNANCY OR ULCERATIVE LESION OF-

VALLECULA EPIGLOTTIS LARYNX LARYNGOPHARYNX OESOPHAGUS

C2 AND C3 SPINAL NERVESCERVICAL SPONDYLOSISINJURIES OF CERVICAL SPINECARIES SPINE

C. PSYCHOGENICWHEN NO CAUSE HAS BEEN DISCOVERED,

PAIN MAY BE FUNCTIONAL IN ORIGIN BUT THE PATIENT SHOULD BE KEPT UNDER OBSERVATION WITH PERIODIC RE-EVALUATION