Pinna pain

Introduction The sensory nerves in the ear are very rich, and they are also associated with the nerves of the adjacent organs. Therefore, in addition to the symptoms of the disease of the ear itself, earache may also be a reflective earache that occurs in diseases of adjacent organs. The pain is light and heavy, and the duration is long and short. There are spontaneous pains, pains when chewing and swallowing, deep pain in the ear, and radiation to the ipsilateral head and neck.

Cause

The main cause of earache is inflammation. There are two types: one is otitis of the ear, and the other is acute suppurative otitis media.

Both earaches are more severe, and severe ones can affect sleep, but the nature of the pain varies. Different periods of deafness development can be persistent pain and tenderness. The pain is aggravated when the hand is pressed around the ear canal, the mouth is opened and chewed. After edema and pus, the earache quickly subsided. Ear pain in acute suppurative otitis media, where the pain is deep in the ear canal, and the external pressure and chewing movement have no significant effect on it, but the ear pain is aggravated when swallowing, yawning or licking.

an examination

Related inspection

Ear, nose, throat swab bacterial culture Otolaryngology CT examination

(1) medical history

For patients with earache, first ask about the nature of earache, such as jumping pain, pressure pain, acupuncture-like pain, knife-like pain, tearing pain, and pulling pain. The pain is light and heavy, and the duration is long and short. There are spontaneous pains, pains when chewing and swallowing, deep pain in the ear, and radiation to the ipsilateral head and neck. Pay full attention to the characteristics of the accompanying symptoms so that appropriate examinations can be performed to confirm the diagnosis early.

(2) Inspection

During the examination, not only the changes in the ear and its surroundings, but also the nasal cavity, nasopharyngeal cavity, sinus, throat, mouth and head and neck should be noted.

Differential diagnosis

Differential diagnosis of auricular pain:

1, pain in the ear: otitis media can cause pain in the ear. Otitis media is an inflammatory lesion involving all or part of the structure of the middle ear (including the eustachian tube tympanic sinus and mastoid air chamber). Most of them are non-specifically arranged for inflammation, especially in children. Can be divided into two categories of non-suppurative and suppurative. Non-suppuratives include secretory otitis media, air-damaged otitis media. Suppurative patients have acute and chronic points, specific inflammation is too rare, such as tuberculous otitis media. Commonly there are secretory otitis media, acute suppurative otitis media, cholesteatoma otitis media and air pressure otitis media.

2, ear root pain: ear root pain can be seen in otitis media, oral tumors can also cause pain in the mouth, ear roots. Otitis media, also known as the "ear of the ear", initiates a disease, causing pain in the mind, and sometimes pus out of the ear. Although it is not a serious illness, it brings endless suffering.

3, pain behind the ear: Many patients often have facial pain in the mastoid area before the appearance of facial paralysis.

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