Otalgia causes: Difference between revisions

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__NOTOC__
{{Otalgia}}
{{Otalgia}}
{{CMG}}; '''Associate Editor(s)-in-Chief:''' [[User:Raviteja Reddy Guddeti|Raviteja Guddeti, M.B.B.S]][mailto:rgudetti@perfuse.org]  
{{CMG}}; '''Associate Editor(s)-in-Chief:''' [[User:Raviteja Reddy Guddeti|Raviteja Guddeti, M.B.B.S]][mailto:ravitheja.g@gmail.com]  
 
==Complete Differential Diagnosis of Otalgia==
 
 
(Most common causes)


==Overview==
[[Otalgia]] can be caused by diseases involving the ear (e.g [[otitis media]], [[otitis externa]]) or can be caused by diseases that cause referred pain to the [[ear]] (e.g [[dental caries]], [[pharyngitis]]).
==Causes==
===Common Causes===
* [[Otitis externa]]
* [[Otitis media]]
* [[Otitis media]]
* [[Otitis externa]]
* [[Foreign body]]
* [[Barotrauma]]
* [[Cerumen impaction]]
* [[Cholesteatoma]]
* [[Cholesteatoma]]
* [[Dental caries]]
* [[Ear canal foreign body]]
* [[Ear trauma]]
* [[Ear trauma]]
* [[TMJ syndrome]]
* [[Mastoiditis]]
* [[Mastoiditis]]
* [[Pharyngitis]]
* [[Cerumen impaction]]
* [[Perforated eardrum]]
* [[Perforated eardrum]]
* [[Ear canal foreign body]]
* [[Pharyngitis]]<ref name="pmid18350760">{{cite journal| author=Ely JW, Hansen MR, Clark EC| title=Diagnosis of ear pain. | journal=Am Fam Physician | year= 2008 | volume= 77 | issue= 5 | pages= 621-8 | pmid=18350760 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18350760  }} </ref>
* [[Dental caries]]
===Less Common Causes===
* [[Malignant (necrotizing) otitis externa]]
* [[Ramsay Hunt syndrome (herpes zoster oticus)]]
* [[Cellulitis/chondritis/perichondritis]]
* [[Relapsing polychondritis]]
* [[Mastoiditis]]
* [[Wegener's granulomatosis]]
* [[Viral myringitis]]<ref name="pmid18350760">{{cite journal| author=Ely JW, Hansen MR, Clark EC| title=Diagnosis of ear pain. | journal=Am Fam Physician | year= 2008 | volume= 77 | issue= 5 | pages= 621-8 | pmid=18350760 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18350760  }} </ref>
 
 
 


(By organ system)
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Acute Coronary Syndrome]], [[Angina]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Acute Coronary Syndrome]]<ref name="pmid21154267">{{cite journal |author=Sheikh M, Adlakha S, Chahal M, Bruhl S, Pandya U, Saeed B |title="Cardiac otalgia": acute coronary syndrome masquerading as bilateral ear pain |journal=Cardiol J |volume=17 |issue=6 |pages=623–4 |year=2010 |pmid=21154267 |doi= |url=}}</ref>, [[Angina]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Reaction to topical agents]], [[Vinflunine]], [[Deferasirox]], [[Ciclesonide]], [[Butorphanol]]
|bgcolor="Beige"| [[Reaction to topical agents]], [[gadopentetate]], [[Vinflunine]], [[Deferasirox]], [[Ciclesonide]], [[Butorphanol]], [[galsulfase]], [[Tretinoin]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
| '''Ear Nose Throat'''
|bgcolor="Beige"| Acute [[otitis externa]] (Swimmer's ear), Acute [[otitis media]], [[Auricular perichondritis]], [[Cerumen impaction]], [[Cholesteatoma]], [[Chronic otitis externa]], [[Ear canal foreign body]], [[Eustachian tube]] dysfunction,[[Eustachian tube]] syringitis, [[Furunculosis]], [[Herpes Zoster Oticus]], [[Laryngitis]], Malignant [[otitis externa]],[[Mastoiditis]], [[Myringitis bullosa]], [[Pahryngitis]], [[Retropharyngeal abscess]], [[Rhinitis]], Ruptured or [[perforated eardrum]], [[Sinusitis]], [[Sterile middle ear effusion]], [[Tonsilitis]], [[Tympanostomy tube]] obstruction, [[Acoustic neuroma]],[[Ear Trauma]], Suppurative [[otitis media]]
|bgcolor="Beige"| [[Acute otitis externa]] ([[Swimmer's ear]]), Acute [[otitis media]], [[Auricular perichondritis]], [[Cerumen impaction]], [[Cholesteatoma]], [[Chronic otitis externa]], [[Ear canal foreign body]], [[Eustachian tube dysfunction]], [[Eustachian tube syringitis]], [[Furunculosis]], [[Herpes Zoster Oticus]]<ref name="pmid2167188">{{cite journal |author=Yoshioka A, Kitagawa Y, Kawada J, Negami T, Hirose G |title=[A case of unilateral VIIIth, IXth and Xth cranial nerve involvement with herpes zoster] |language=Japanese |journal=Rinsho Shinkeigaku |volume=30 |issue=4 |pages=413–5 |year=1990 |month=April |pmid=2167188 |doi= |url=}}</ref>, [[Laryngitis]], [[Malignant otitis externa]],[[Mastoiditis]], [[Myringitis bullosa]], [[Pahryngitis]], [[Retropharyngeal abscess]], [[Rhinitis]], [[perforated eardrum]], [[Sinusitis]], [[Sterile middle ear effusion]], [[Tonsilitis]], [[Tympanostomy tube]] obstruction, [[Acoustic neuroma]],[[Ear Trauma]], Suppurative [[otitis media]], [[Polyp]]s arising from [[tympanic membrane]]
|-  
|-  
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"|  
|bgcolor="Beige"|  
'''Bacterial:''' Auricular [[erysipelas]], [[Cellulitis]], Cervical [[adenitis]], [[Cervical spine infection]], [[Ear, nose, throat (ENT) deep-space infection]], [[Syphilitic]] [[meningitis]], [[Lymphadenitis]], [[Parotiditis]], [[Sialoadenitis]],[[Furunculosis]], [[Upper respiratory tract infection]]
'''Bacterial:''' Auricular [[erysipelas]], [[Cellulitis]], [[Cervical adenitis]], [[Cervical spine infection]], [[Ear, nose, throat (ENT) deep-space infection]], [[Syphilitic]] [[meningitis]], [[Lymphadenitis]], [[Parotiditis]], [[Sialoadenitis]],[[Furunculosis]], [[Upper respiratory tract infection]]


'''Viral:''' [[Mumps]], [[Varicella]], [[Lymphadenitis]], [[Parotiditis]], [[Sialoadenitis]], [[Herpes Zoster Oticus]], [[Myringitis bullosa]], [[Ramsay Hunt syndrome]]
'''Viral:''' [[Mumps]], [[Varicella]], [[Lymphadenitis]], [[Parotiditis]], [[Sialoadenitis]], [[Herpes Zoster Oticus]], [[Myringitis bullosa]], [[Ramsay Hunt syndrome]]
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Metastatic tumor]], [[Ear tumor]], [[Laryngeal carcinoma]], [[Tongue cancer]], [[Tonsil cancer]]
|bgcolor="Beige"| [[Metastatic tumor]], [[Ear tumor]], [[Laryngeal carcinoma]], [[Tongue cancer]], [[Tonsil cancer]], [[Glomus jugulare tumor]], [[Head and neck cancer]]s
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| Post-[[tonsillectomy]]/[[adenoidectomy]], [[Bell palsy]], [[Chondrodermatitis nodularis chronica helicis]],[[Keratosis obturans]]
|bgcolor="Beige"| Post-[[tonsillectomy]]/[[adenoidectomy]], [[Bell palsy]], [[Chondrodermatitis nodularis chronica helicis]],[[Keratosis obturans]], [[Carotidynia]], [[Eagle syndrome]] <ref>{{cite journal |author=Mayrink G, Figueiredo EP, Sato FR, Moreira RW |title=Cervicofacial pain associated with Eagle's syndrome misdiagnosed as trigeminal neuralgia |journal=Oral Maxillofac Surg |volume=16 |issue=2 |pages=207–10 |year=2012 |month=June |pmid=21720752 |doi=10.1007/s10006-011-0276-7 |url=}}</ref>
|-
|-
|}  
|}


In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
===Causes in Alphabetical Order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref><ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===


* Acoustic nerve tumor
* [[Acoustic neuroma]]
* Acute [[otitis externa]] (Swimmer's ear)
* [[Acute otitis externa]] ([[Swimmer's ear]])
* Acute [[otitis media]]
* Acute [[otitis media]]
* [[Arthritis]] of the [[temporomandibular joint]]
* [[Arthritis]] of the [[temporomandibular joint]]
* Auricular [[erysipelas]]
* Auricular [[erysipelas]]
* Auricular perichondritis
* [[Auricular perichondritis]]
* [[Cellulitis]]
* [[Cellulitis]]
* [[Cerumen]] impaction
* [[Cerumen]] impaction
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* Ear canal [[foreign body]]
* Ear canal [[foreign body]]
* [[Eczema]]
* [[Eczema]]
* [[Eustachian tube]] dysfunction
* [[Eustachian tube dysfunction]]
* [[Eustachian tube]] syringitis
* [[Eustachian tube syringitis]]
* [[Furunculosis]]
* [[Furunculosis]]
* [[Herpes Zoster Oticus]]
* [[Herpes zoster oticus]]
* [[High altitude sickness]]
* [[High altitude sickness]]
* [[Keratosis obturans]]  
* [[Keratosis obturans]]  
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* [[Ramsay Hunt syndrome]]  
* [[Ramsay Hunt syndrome]]  
* Reaction to topical agents
* Reaction to topical agents
* [[perforated eardrum]]
* [[Perforated eardrum]]
* [[Sterile middle ear effusion]]
* [[Sterile middle ear effusion]]
* Suppurative [[otitis media]]  
* Suppurative [[otitis media]]  
* [[Trauma]]
* [[Trauma]]
* [[Tretinoin]]
* [[Tumor]]
* [[Tumor]]
* [[Tympanostomy tube]] obstruction
* [[Tympanostomy tube]] obstruction
* [[Varicella]]
* [[Varicella]]
* [[Vinflunine]]  
* [[Vinflunine]]


=== Referred Pain ===
=== Referred Pain ===
*  [[Acute Coronary Syndrome]]
*  [[Acute coronary syndrome]] <ref>{{cite journal |author=Sheikh M, Adlakha S, Chahal M, Bruhl S, Pandya U, Saeed B |title="Cardiac otalgia": acute coronary syndrome masquerading as bilateral ear pain |journal=Cardiol J |volume=17 |issue=6 |pages=623–4 |year=2010 |pmid=21154267 |doi= |url=}}</ref>
*  [[Angina]]
*  [[Angina]]
*  [[Arnold nerve cough syndrome]]
*  [[Arnold nerve cough syndrome]]
*  [[Arthritis]]
*  [[Arthritis]]
*  [[Bell  palsy]]
*  [[Bell palsy]] <ref>{{cite journal |author=Han DG |title=Pain around the ear in Bell's palsy is referred pain of facial nerve origin: the role of nervi nervorum |journal=Med. Hypotheses |volume=74 |issue=2 |pages=235–6 |year=2010 |month=February |pmid=19932939 |doi=10.1016/j.mehy.2009.06.027 |url=}}</ref>
*  Cervical [[adenitis]]
* [[Carotidynia]]
*  [[Cervical spine affection]]
*  [[Cervical adenitis]]
*  [[Cervical spine infection]]
*  [[Dental caries]]
*  [[Dental caries]]
*  Ear, nose, throat (ENT) deep-space infection
*  [[Ear, nose, throat (ENT) deep-space infection]]
*  [[Esophagitis]]
*  [[Esophagitis]]
*  [[Functional disorders]]
*  [[Functional disorders]]
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*  [[Sinusitis]]
*  [[Sinusitis]]
*  [[Syphilitic]] [[meningitis]]
*  [[Syphilitic]] [[meningitis]]
*  [[Temporomandibular Joint Dysfunction]] ([[TMJ]])
*  [[Temporomandibular joint dysfunction]] ([[TMJ]]) <ref>{{cite journal |author=Satar B, Arslan HH, Ugurel S, Hidir Y |title=TMJ herniation associated with lymphangioma of the parotid region |journal=J Craniofac Surg |volume=23 |issue=2 |pages=e67–9 |year=2012 |month=March |pmid=22446461 |doi=10.1097/SCS.0b013e31824683ef |url=}}</ref>
*  [[Tongue cancer]]
*  [[Tongue cancer]]
*  [[Tonsil cancer]]
*  [[Tonsilitis]]
*  [[Tonsilitis]]
*  [[Tonsillar cancer]]
*  [[Tooth infection]]
*  [[Tooth infection]]
*  [[Trigeminal Neuralgia]]
*  [[Trigeminal neuralgia]]
*  [[Upper respiratory tract infection]]
*  [[Upper respiratory tract infection]]
*  [[Wegener granulomatosis]]
*  [[Wegener granulomatosis]]
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WH}}
{{WS}}
{{WS}}


[[Category:Otolaryngology]]
[[Category:Otolaryngology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]

Latest revision as of 00:04, 22 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S[2]

Overview

Otalgia can be caused by diseases involving the ear (e.g otitis media, otitis externa) or can be caused by diseases that cause referred pain to the ear (e.g dental caries, pharyngitis).

Causes

Common Causes

Less Common Causes



Causes by Organ System

Cardiovascular Acute Coronary Syndrome[2], Angina
Chemical / poisoning No underlying causes
Dermatologic Eczema, Psoriasis, Furunculosis
Drug Side Effect Reaction to topical agents, gadopentetate, Vinflunine, Deferasirox, Ciclesonide, Butorphanol, galsulfase, Tretinoin
Ear Nose Throat Acute otitis externa (Swimmer's ear), Acute otitis media, Auricular perichondritis, Cerumen impaction, Cholesteatoma, Chronic otitis externa, Ear canal foreign body, Eustachian tube dysfunction, Eustachian tube syringitis, Furunculosis, Herpes Zoster Oticus[3], Laryngitis, Malignant otitis externa,Mastoiditis, Myringitis bullosa, Pahryngitis, Retropharyngeal abscess, Rhinitis, perforated eardrum, Sinusitis, Sterile middle ear effusion, Tonsilitis, Tympanostomy tube obstruction, Acoustic neuroma,Ear Trauma, Suppurative otitis media, Polyps arising from tympanic membrane
Endocrine No underlying causes
Environmental Ear Trauma, High altitude sickness, acute barotrauma
Gastroenterologic Esophagitis
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease

Bacterial: Auricular erysipelas, Cellulitis, Cervical adenitis, Cervical spine infection, Ear, nose, throat (ENT) deep-space infection, Syphilitic meningitis, Lymphadenitis, Parotiditis, Sialoadenitis,Furunculosis, Upper respiratory tract infection

Viral: Mumps, Varicella, Lymphadenitis, Parotiditis, Sialoadenitis, Herpes Zoster Oticus, Myringitis bullosa, Ramsay Hunt syndrome

Musculoskeletal / Ortho Cervical spine disease, Temporomandibular Joint Dysfunction (TMJ)
Neurologic Trigeminal Neuralgia, Acoustic neuroma, Syphilitic meningitis, Arnold nerve cough syndrome,Glossopharyngeal neuralgia
Nutritional / Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Metastatic tumor, Ear tumor, Laryngeal carcinoma, Tongue cancer, Tonsil cancer, Glomus jugulare tumor, Head and neck cancers
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric Functional disorders
Pulmonary No underlying causes
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy Arthritis, Wegener granulomatosis
Sexual No underlying causes
Trauma Cerumen impaction, Cholesteatoma, Head injury, Perforated eardrum
Urologic No underlying causes
Dental Dental caries, Tooth infection
Miscellaneous Post-tonsillectomy/adenoidectomy, Bell palsy, Chondrodermatitis nodularis chronica helicis,Keratosis obturans, Carotidynia, Eagle syndrome [4]

Causes in Alphabetical Order[5][6]

Referred Pain

References

  1. ↑ 1.0 1.1 Ely JW, Hansen MR, Clark EC (2008). "Diagnosis of ear pain". Am Fam Physician. 77 (5): 621–8. PMID 18350760.
  2. ↑ Sheikh M, Adlakha S, Chahal M, Bruhl S, Pandya U, Saeed B (2010). ""Cardiac otalgia": acute coronary syndrome masquerading as bilateral ear pain". Cardiol J. 17 (6): 623–4. PMID 21154267.
  3. ↑ Yoshioka A, Kitagawa Y, Kawada J, Negami T, Hirose G (1990). "[A case of unilateral VIIIth, IXth and Xth cranial nerve involvement with herpes zoster]". Rinsho Shinkeigaku (in Japanese). 30 (4): 413–5. PMID 2167188. Unknown parameter |month= ignored (help)
  4. ↑ Mayrink G, Figueiredo EP, Sato FR, Moreira RW (2012). "Cervicofacial pain associated with Eagle's syndrome misdiagnosed as trigeminal neuralgia". Oral Maxillofac Surg. 16 (2): 207–10. doi:10.1007/s10006-011-0276-7. PMID 21720752. Unknown parameter |month= ignored (help)
  5. ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  6. ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
  7. ↑ Sheikh M, Adlakha S, Chahal M, Bruhl S, Pandya U, Saeed B (2010). ""Cardiac otalgia": acute coronary syndrome masquerading as bilateral ear pain". Cardiol J. 17 (6): 623–4. PMID 21154267.
  8. ↑ Han DG (2010). "Pain around the ear in Bell's palsy is referred pain of facial nerve origin: the role of nervi nervorum". Med. Hypotheses. 74 (2): 235–6. doi:10.1016/j.mehy.2009.06.027. PMID 19932939. Unknown parameter |month= ignored (help)
  9. ↑ Satar B, Arslan HH, Ugurel S, Hidir Y (2012). "TMJ herniation associated with lymphangioma of the parotid region". J Craniofac Surg. 23 (2): e67–9. doi:10.1097/SCS.0b013e31824683ef. PMID 22446461. Unknown parameter |month= ignored (help)

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