Otalgia

As otalgia (. Οὦς Greek (OOS ), gene ὠτός ( OTO ), ear and Greek ἄλγος ( algos ) pain ) is called in medicine earache different - and unknown - cause. The otalgia is the leading symptom of all inflammatory diseases of the middle ear and the outer ear. A distinction is made between primary and secondary otalgia. Ear pain are mediated by the tympanic plexus via the glossopharyngeal nerve. Also, the vagus nerve is involved in the tympanic membrane area.

• 5.1 eardrum injury
• 5.2 skull base fracture

• 7.1 zoster oticus
• 7.2 trigeminal neuralgia

• 9.1 hypopharynx

Primary otalgia

Primary otalgia caused by diseases or injuries of the ear.

Otitis media

Under otitis media refers to the middle ear inflammation, which in turn is divided into the Acute otitis media and chronic otitis media.

Acute otitis media

Acute otitis media serous or purulent can run. It is a painful, usually caused by viral or bacterial infection, inflammation of the mucous membranes of the middle ear.

Clinically, acute otitis media with special forms Scarlet otitis, measles and influenza - otitis otitis of chronic middle ear infection (otitis media chronica ) is distinguished.

Mastoiditis

The mastoiditis is a complication of acute otitis media, which also causes otalgia. Under a Mastoiditis is an acute inflammation in the mastoid process ( mastoid process ) of the temporal bone with Knocheneinschmelzung.

Gradenigo 's syndrome

The Gradenigo syndrome (syn. Lannois - Gradenigo syndrome, pyramid tip syndrome, english Gradenigo 's triad ) is the result of an infectious inflammation of the cells of the petrous pyramid ( petrositis ). The syndrome is a rare complication of acute otitis media.

Chronic suppurative otitis media

Otitis externa

Otitis externa (Latin for " outer ear " ) is an inflammation of the outer ear, especially the external auditory canal, in a broader sense also the auricle. One phlegmon, or the ear canal eczema of the ear canal (otitis externa diffusa) the Gehörgangsfurunkel (otitis externa circumscripta ) is compared. A particularly severe form of external otitis is the malignant external otitis ( progressive necrotizing otitis ).

Seromukotympanon

The Seromukotympanon arises from an accumulation of purulent fluid not different viscosity in the middle ear as a result of tubal dysfunction, for example, through the closure of the tube by an adenoid.

Secondary otalgia

A secondary otalgia there may be pain on sensory fibers of the trigeminal nerve, facial nerve, glossopharyngeal nerve, vagus nerve, and the second and third cervical root (C2, C3 of the cervical spine ) can be propagated in the ear region.

Perichondritis

As Ohrmuschelperichondritis an inflammation of the perichondrium of the pinna is called, causing the earache.

Trauma

Eardrum injury

With hard objects may be a direct injury ( perforation ) of the eardrum caused that comes with an associated otalgia. The injury may be caused by a blow on the ear or explode, resulting in an indirect Trommelfellzerreißung (rupture ) results. Also a middle ear infection, barotrauma, or a skull fracture can cause a violation of the eardrum.

Skull base fracture

A fracture of the skull caused by severe trauma in the head and is a life threatening injury. A otalgia may occur or laterobasal fracture primarily by the otobasale ( ear and skull base ).

Peritonsillar

In a peritonsillar abscess is an abscess between the palatine tonsil and the pharyngeal constrictor muscle. It can occur as a complication of angina lacunaris. Patients have a kloßige language and complain about stabbing ear pain.

Neuralgia

Zoster oticus

Zoster oticus called an infestation of the ear canal and / or the outer ear by the varicella - zoster virus ( VZV), also known as Human herpes virus 3 (HHV -3) called ( " shingles " ), which causes a otalgia.

Trigeminal neuralgia

Trigeminal neuralgia is an extremely painful condition irritation of the fifth cranial nerve, the trigeminal nerve, which supplies the face and head area with three branches, the Augenast, the Oberkieferast and the mandible and can also trigger an otalgia.

Psychosomatic otalgia

Psychogenic otalgia can be part of depression and / or somatization disorder after exclusion of somatic causes. In a study of Minnigerode 17% of depressed patients complain of head and ear pain with dizziness and tinnitus.

Tumors

Hypopharynx

The symptoms of hypopharyngeal carcinoma are usually uncharacteristic. For example, unclear dysphagia, globus syndrome, halitosis or a " scratchy throat ". However, these symptoms can also have many other causes. Late symptoms include inability to swallow, spitting of blood, to the ears radiating pain and cervical lymph node metastases.

Kiefergelenksarthropathie

Temporomandibular joint ( Temporomandibular Dysfunction, CMD) is an umbrella term for structural, functional, biochemical and psychological dysregulation of muscle or joint function of the jaw joints. This dysregulation can be painful. From this finding, the resulting diagnoses Okklusopathie, myopathy and arthropathy.