Otalgia: Causes & Reasons

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Possible Causes for Otalgia

Otitis Media

Severe illness is defined as moderate to severe otalgia or temperature greater than 39°C, whereas nonsevere illness is defined as mild otalgia and temperature less than 39 [emedicine.com]

Acute suppurative otitis media (ASOM) - A history of gradually increasing otalgia followed by the appearance of a discharge with some reduction in otalgia. [entsho.com]

Severe illness is defined as moderate-to-severe otalgia or temperature greater than 39°C, whereas nonsevere illness is defined as mild otalgia and temperature less than 39 [emedicine.com]

Acute Otitis Media

The diagnosis is based on acute onset of symptoms such as otalgia and fever, middle ear inflammation such as erythema of the tympanic membrane, and middle ear effusion. [ncbi.nlm.nih.gov]

It is characterized by an acute onset of symptoms (e.g., otalgia, fever, anorexia) with signs of middle ear inflammation (e.g., bulging tympanic membrane, effusion). [amboss.com]

Acute suppurative otitis media (ASOM) - A history of gradually increasing otalgia followed by the appearance of a discharge with some reduction in otalgia. [entsho.com]

Impacted Cerumen

Otalgia and pruritus may be noted. Tinnitus has also been associated with IC. [symptoma.com]

May 15, 2007 (3) Earwax: What you should know.American Academy of Family Physicians, 2007 Links: syringing (to remove ear wax ) hearing loss (conductive) tinnitus otalgia [gpnotebook.com]

If the patient’s ear wax is cleared, ensure that the symptoms (tinnitus, hearing loss, or otalgia) are resolved. If not, think of another diagnosis. Roland PS, et al. [hippoed.com]

Otitis Externa

Clinical efficacy, in terms of otalgia, oedema, erythema and tenderness of the external auditory canal, was assessed before packing was applied and at follow up on the 3rd [ncbi.nlm.nih.gov]

Patients present with severe otalgia, otorrhoea with or without facial palsy, or rarely, facial pain as a symptomatic feature. [ncbi.nlm.nih.gov]

Ramsay Hunt syndrome is a rare complication of herpes zoster in which reactivation of latent varicella zoster virus infection occurs in the geniculate ganglion, causing otalgia [ncbi.nlm.nih.gov]

Acute Otitis Externa

Clinical efficacy, in terms of otalgia, oedema, erythema and tenderness of the external auditory canal, was assessed before packing was applied and at follow up on the 3rd [ncbi.nlm.nih.gov]

The most common symptoms related to AOE described by patients are otalgia and otorrhea. Complaints of otalgia can range from mild pruritus to severe discomfort. [contemporaryclinic.pharmacytimes.com]

[…] and further evaluation for alternate diagnoses are warranted in some cases ( Sidebar 2 2-6 ). 2-4,6 SIDEBAR 2: RED FLAGS FOR FURTHER INVESTIGATION 2-6 Fever >101°F Severe otalgia [contemporaryclinic.pharmacytimes.com]

Chronic Otitis Externa

[…] and 1/3 were diagnosed with some sort secondary otalgia.[5] A common cause of primary otalgia is ear infection called otitis media, meaning an infection behind the eardrum [en.wikipedia.org]

Symptoms of otitis externa can include: Pain in the ear (otalgia) Fullness of the ear Itchy ear Temporary hearing loss Drainage from the ear (otorrhea) Facial swelling and [everydayhearing.com]

Bacterial Otitis Media

It is characterized by an acute onset of symptoms (e.g., otalgia, fever, anorexia ) with signs of middle ear inflammation (e.g., bulging tympanic membrane, effusion). [amboss.com]

Bilateral otalgia culminating in purulent otorrhea led to the diagnosis of AOM and oral Cefedinir was later started. [ashdin.com]

CLINICAL SIGNS AND SYMPTOMS of Acute Otitis Media Fever greater than 104 Otalgia seen as ear rubbing or pulling. [youtube.com]

Herpes Zoster Oticus

Common presenting symptoms include cutaneous auricular vesicles, severe otalgia, inflammation of the pinna, and occasionally unilateral sudden facial paralysis. [ncbi.nlm.nih.gov]

It presents classically with severe otalgia, a vesicular rash in the Concha or on the Pinna of the affected ear in association with a lower motor neurone lesion of the homolateral [ncbi.nlm.nih.gov]

Case Report A 65-year-old male presented with severe otalgia in the right ear continuous for 5 days. [ejao.org]

Malignant Otitis Media

Patients with external otitis complain of otalgia and sensitivity to auricular movement. [aafp.org]

CASE PRESENTATION JB, 53 years old, with intense left side otalgia, irradiating to the temporal region and half of his face. [bjorl.org]

She reported left sided otalgia, hearing loss and tinnitus of one day’s duration. [casereports.in]

Mastoiditis

We report a case of an 81-year-old immunocompetent man, who underwent a mastoidectomy because of unexplained, progressive otalgia in spite of a noninflamed and air-containing [ncbi.nlm.nih.gov]

She was found to have an ear wick in place as part of the treatment of otalgia. She was subsequently diagnosed with mastoiditis and meningitis. [ncbi.nlm.nih.gov]

In this report, we describe a pediatric case of sigmoid sinus thrombosis following mastoiditis, presenting with nonspecific symptoms such as fever, otalgia, and headache. [ncbi.nlm.nih.gov]

Gradenigo Syndrome

Upon admission the child was irritated, crying, complaining of otalgia to the right and pain in the right hemiface. [arquivosdeorl.org.br]

A 45-years-old man initially complained of right otalgia and trigeminal neuralgia, while right abducens nerve paralysis appeared about two weeks after onset of acute otitis [jstage.jst.go.jp]

The middle ear and mastoid rhabdomyosarcoma may present a large variety of signs and symptoms, including facial paralysis, otorrhea, otalgia etc. (5). [arquivosdeorl.org.br]

Abscess of the External Auditory Meatus

Otalgia Pathophysiology: The primary pathophysiology is located in the geniculate ganglion of the facial nerve. [lessons4medicos.blogspot.com]

The clinical picture includes acute severe otalgia with conductive hearing loss whereas otorrhea is rare. [1] There is a predilection for young age and bilateral involvement [ijri.org]

In some patients, OE can cause severe otalgia necessitating administration of narcotic pain relievers. Pain usually improves 2-5 days after initiating therapy. [emedicine.medscape.com]

Keratosis Obturans

Classically, it is reported to present with severe otalgia, conductive deafness and global widening of the canal. [ncbi.nlm.nih.gov]

Classically, it is reported to present with severe otalgia, conductive hearing loss and global widening of the external auditory canal. [ncbi.nlm.nih.gov]

Classically, it is reported to present with severe otalgia, conductive deafness and global widening of the canal [3]. [austinpublishinggroup.com]

Chronic Serous Otitis Media

Head and neck symptoms Children may show signs of earache or otalgia through the pulling of the affected ear. [ehealthhall.com]

Other symptoms include otalgia and a sensation of pressure in the ear. [symptoma.com]

In acute otitis media, otalgia is the most common complaint. Other common signs and symptoms include otorrhea, hearing loss, headache, fever, and irritability. [radiopaedia.org]

Acute Mastoiditis

A two-year-old boy presented with fever, otalgia, otorrhoea and bilateral protruding ears. [ncbi.nlm.nih.gov]

S. pyogenes causes less otalgia than the other pathogens. [ncbi.nlm.nih.gov]

Otalgia, fever, poor feeding and vomiting were the most common symptoms, all the children had evidence of retroauricolar inflammation. [ncbi.nlm.nih.gov]

Cellulitis of the Pinna

Otomycosis Symptoms: Itching or mild otalgia. Secondary bacterial infection may produce intense pain. [163.178.103.176]

Tags: ear pain ear wax malignant otitis externa otalgia otitis externa swimmer's ear Sean M. [pedemmorsels.com]

•Preparations with steroids help to reduce edema and otalgia. •Systemic antibiotics are indicated for infections that spread beyond the EAC. [de.slideshare.net]

Tympanic Membrane Perforation

These patients had been referred to us for evaluation of chronic, mostly treatment-refractory otitis externa, which had manifested as otorrhea, otalgia, and/or pruritus. [ncbi.nlm.nih.gov]

[…] majority of the patients that I see with acute traumatic tympanic membrane perforations are symptomatic, and their prime complaints are decreased hearing, tinnitus, and otalgia [jamanetwork.com]

The most common presenting symptom among the patients was otorrhea in 81.5%, otalgia in 72.8%, and tinnitus in 55.7%. [ncbi.nlm.nih.gov]

Serous Otitis Media

Head and neck symptoms Children may show signs of earache or otalgia through the pulling of the affected ear. [ehealthhall.com]

[…] one enlarges or becomes inflamed, the patient may experience nasal obstruction, headaches, postnasal discharge with a foul odor, eustachian tube dysfunction with resulting otalgia [acronymfinder.com]

In adolescents and adults, otalgia is a more common presenting symptom than in children under the age of 2. [ 1 ] Indeed, in adults, otalgia may occur without fever or hearing [patient.info]

Bullous Myringitis

Bullous myringitis is manifested by moderately severe otalgia associated with vesicles on the tympanic membrane and medial external auditory canal wall. [ncbi.nlm.nih.gov]

Myringitis and tissue stretching typically cause severe, throbbing otalgia. As has been indicated above, BM is often associated with otitis media. [symptoma.com]

Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. [aafp.org]

Peritonsillar Abscess

Symptoms generally include fever, malaise, sore throat, dysphagia, and otalgia. [aafp.org]

Pain can be severe, associated with otalgia, trismus, dysphagia and drooling of saliva. Patient usually pyrexial and systemically unwell. [gloshospitals.nhs.uk]

Trismus and otalgia may be present. This infection usually affects young adults, but all ages can be affected. Older adults may have more subtle symptoms. [visualdx.com]

Infectious Myringitis

[…] usually seek medical attention after the subacute onset of the following symptoms: Ear congestion and mild hearing loss Sensation of fullness or increased pressure in the ear Otalgia [symptoma.com]

Bullous Myringitis This is a painful infection characterized by bullae on the tympanic membrane (TM), which has a richly innervated outer epithelium (hence the severe otalgia [foamcast.org]

Fever and otalgia may be apparent but neither is severe. The second stage is exudation. [app1.unmc.edu]

Middle Ear Cholesteatoma

The other patient, a 55-year-old man, was admitted to our hospital for a detailed examination because he had right otalgia and progressive headache. [ncbi.nlm.nih.gov]

[…] diseases of inner ear 귀의 기타 장애(H90-H95) Other disorders of ear H90 전음성 및 감각신경성 쳥력손실 Conductive and sensorineural hearing loss H91 기타 청력손실 Other hearing loss H92 귀통증 및 귀의 삼출액 Otalgia [rich-world.tistory.com]

Otalgia Cholesteatoma itself is not often painful. But when it is associated with infection, it may cause pain.[2]. [explainmedicine.com]

Glomus Jugulare Tumor

Symptoms of these tumors usually include pulsatile tinnitus, hearing loss, facial nerve paralysis, vertigo, otalgia, dysphagia, hoarseness, throat sore, episodic hypertension [journals.lww.com]

Other complications such as otalgia, vertigo, cofosis and facial palsy occurred only once. [scielo.br]

At every appointment patients answered questions about symptoms (hypoacusia, pulsatile tinnitus, dizziness/vertigo, otorrhea, otalgia, post-radiotherapy symptoms and others [scielo.br]

Chronic Suppurative Otitis Media

[…] microorganisms were-significantly more so than the others-characteristically associated with each of the following clinical features: quantity of pus drainage, mode of onset, otalgia [ncbi.nlm.nih.gov]

When cholesteatoma or other complications are suspected (as in a febrile patient or one with vertigo or otalgia), CT or MRI is done. [msdmanuals.com]

Foreign Body in the Ear

DIAGNOSIS Cerumen impaction Abrasion to ear canal Otitis Externa Tumor EVALUATION History Patient may admit to placing something in ear Parents witness placement Symptoms of otalgia [urgentcarepeds.org]

[…] foreign bodies), one removed from each of the external auditory canals of a girl, four years of age A girl, four years of age, presented with a one-week history of right-sided otalgia [racgp.org.au]

[…] children than adults. [3] There are other clinical features apart from otitis externa attributable to a foreign body in the external meatus such as deafness, tinnitus, and otalgia [indianjotol.org]

Pharyngeal Carcinoma

No other disease exists Presentation Epidemiology smokers drinkers Presentation hoarseness difficulty swallowing otalgia hemoptysis non-healing oral ulcer Treatment Diagnosis [medbullets.com]

[…] myoepithelial encapsulated * Sensory portions of this nerve synapse along with sensory nerves of the external auditory canal (Arnold’s nerve) leading to symptoms of referred otalgia [slideshare.net]

Symptoms and Signs Oropharyngeal cancer symptoms vary slightly depending on the subsite but typically patients present with sore throat, dysphagia, odynophagia, dysarthria, and otalgia [merckmanuals.com]

Carcinoma of the Larynx

A 74 year old man who presented with otalgia underwent direct laryngoscopy with biopsy, which revealed an invasive poorly differentiated carcinoma. [ncbi.nlm.nih.gov]

Dysphonia which will gradually develop into aphonia, dysphagia, dyspnea, aspiration, fatigue and general weakness, localized pain, otalgia, halitosis and blood showing in [symptoma.com]

Supraglottic cancers tend to present late with symptoms of dysphagia, odynophagia, hemoptysis, or referred otalgia. Stridor and hoarseness are late findings. [health.am]

Carcinoma of the Tonsil

We describe the case of a 52-year-old man with a history of squamous cell carcinoma (SCC) of the tonsil who presented with right subacute otalgia and otorrhea. [ncbi.nlm.nih.gov]

The most reported complaints include sore throat, otalgia or dysphagia. Some patients may complain of feeling the presence of a lump in the throat. [en.wikipedia.org]

He also denied hoarseness, dysphagia, odynophagia, otalgia, and unintended weight loss. [hoajonline.com]

Temporomandibular Joint Disorder

[…] article seeks to show some reasonable anatomical and pathophysiological connections of this muscle-skeletal disorder expressed with symptoms like tinnitus, otic fullness, otalgia [ncbi.nlm.nih.gov]

[…] closing Malalignment of the teeth Wearing of the teeth, flattening of the top of the teeth Grinding Hypertonicity of the pterygoids and masseter muscles Ear pain, ache (otalgia [accessphysiotherapy.mhmedical.com]

A closed Eustachian tube may be responsible for the feeling of ear fullness, otalgia and serous otitis media [ 38 ]. [bmcearnosethroatdisord.biomedcentral.com]

Eustachian Tube Obstruction

This study was done on 30 patients complaining of otalgia. They were 16 males and 14 females. [ncbi.nlm.nih.gov]

[…] etiological agent in the development of middle ear and eustachian tube inflammation. [14] Nasopharyngeal pH has been noted to be lower in a subset of patients with adenoiditis and otalgia [emedicine.medscape.com]

Obstruction of the middle ear produces a negative pressure in the middle ear due to absorption of the oxygen from the middle ear cavity, often leading to otalgia. [ncbi.nlm.nih.gov]