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OTALGIA. A)LOCAL CAUSES B)REFERRED CAUSES C)PSYCHOGENIC . A)LOCAL CAUSES. EXTERNAL EAR FURUNCLE, IMPACETD WAX,OTITIS EXTERNA,OTOMYCOSIS, MYRINGITIS BULLOSA, HERPES ZOSTER, AND MALIGNANT NEOPLASMS. MIDDLE EAR
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OTALGIA A)LOCAL CAUSES B)REFERRED CAUSES C)PSYCHOGENIC
A)LOCAL CAUSES • EXTERNAL EAR • FURUNCLE, IMPACETD WAX,OTITIS EXTERNA,OTOMYCOSIS, MYRINGITIS BULLOSA, HERPES ZOSTER, AND MALIGNANT NEOPLASMS. • MIDDLE EAR • ACUTE 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 CAVITY • TEMPOROMANDIBULAR JOINT DISORDERS • SPHENOPALATINE NEURALGIA
IXTH (TYMPANIC BR) • OROPHARYNX • BASE OF TONGUE • ELONGATED STYLOID PROCESS
XTH (AURICULAR BR) CRANIAL NERVES • MALIGNANCY OR ULCERATIVE LESION OF- • VALLECULA • EPIGLOTTIS • LARYNX • LARYNGOPHARYNX • OESOPHAGUS
C2 AND C3 SPINAL NERVES • CERVICAL SPONDYLOSIS • INJURIES OF CERVICAL SPINE • CARIES SPINE
C. PSYCHOGENIC • WHEN NO CAUSE HAS BEEN DISCOVERED, PAIN MAY BE FUNCTIONAL IN ORIGIN BUT THE PATIENT SHOULD BE KEPT UNDER OBSERVATION WITH PERIODIC RE-EVALUATION