Otalgia causes

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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]

Complete Differential Diagnosis of Otalgia

(Most common causes)

• Otitis media
• Otitis externa
• Cholesteatoma
• Ear trauma
• Mastoiditis
• Pharyngitis
• Cerumen impaction
• Perforated eardrum
• Ear canal foreign body
• Dental caries

(By organ system)

Cardiovascular	Acute Coronary Syndrome, Angina
Chemical / poisoning	No underlying causes
Dermatologic	Eczema, Psoriasis, Furunculosis
Drug Side Effect	Reaction to topical agents, Vinflunine, Deferasirox, Ciclesonide, Butorphanol
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, 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
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
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

In alphabetical order.

• Acoustic nerve tumor
• Acute otitis externa (Swimmer's ear)
• Acute otitis media
• Arthritis of the temporomandibular joint
• Auricular erysipelas
• Auricular perichondritis
• Cellulitis
• Cerumen impaction
• Cervical spine disease
• Cholesteatoma
• Chronic otitis externa
• Chondrodermatitis nodularis chronica helicis
• Ear canal foreign body
• Eczema
• Eustachian tube dysfunction
• Eustachian tube syringitis
• Furunculosis
• Herpes Zoster Oticus
• High altitude sickness
• Keratosis obturans
• Malignant otitis externa
• Mastoiditis
• Mumps
• Myringitis bullosa
• Other acute barotrauma
• Psoriasis
• Ramsay Hunt syndrome
• Reaction to topical agents
• perforated eardrum
• Sterile middle ear effusion
• Suppurative otitis media
• Trauma
• Tumor
• Tympanostomy tube obstruction
• Varicella
• Vinflunine

Referred Pain

• Acute Coronary Syndrome
• Angina
• Arnold nerve cough syndrome
• Arthritis
• Bell palsy
• Cervical adenitis
• Cervical spine affection
• Dental caries
• Ear, nose, throat (ENT) deep-space infection
• Esophagitis
• Functional disorders
• Glossopharyngeal neuralgia
• Laryngeal carcinoma
• Laryngitis
• Lymphadenitis
• Mastoiditis
• Metastatic tumor
• Mumps
• Pahryngitis
• Parotiditis
• Post-tonsillectomy/adenoidectomy
• Retropharyngeal abscess
• Rhinitis
• Sialoadenitis
• Sinusitis
• Syphilitic meningitis
• Temporomandibular Joint Dysfunction (TMJ)
• Tongue cancer
• Tonsilitis
• Tonsillar cancer
• Tooth infection
• Trigeminal Neuralgia
• Upper respiratory tract infection
• Wegener granulomatosis

References

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