Date post: | 15-Apr-2017 |
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Healthcare |
Upload: | saeed-ullah |
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Otalgia By
Lt Col Dr Saeed Ullah MBBS, FCPSClassified ENT, Head and Neck Surgeon
Parts of ear
Nerve supply of ear
Nerve supply EACAuriculotemporal nerve (V3)Facial nerve Auricular branch of Vagus nerve
Nerve supply of TMAuriculo temporal nerveAuricular branch of VagusJacobson’s nerve
Nerve supply of middle earTympanic plexusJacobson’s nerve Chorda tympani
Types of otalgiaPrimary otalgiaReferred otalgia
Referred otalgiaPain originated outside the ear, but felt in the
ear
Causes Primary otalgia
Pinna External auditory canalMiddle earMastoid air cell system
Pinna Laceration and biteHematomaPerichondritisOtitis externaInfected pre-auricular sinusFrost bite and sunburnNeoplasm
External auditory canalImpacted waxForign bodiesOtitis externaKeratosis obturansExostosisHerpes zoster oticusNeoplasm
TM & Middle ear Bullous myringitisAcute otitis mediaSecretory otitis mediaBarotraumaTraumatic perforation of TMHemotympanumNeoplasm
Mastoid MastoiditisMastoid abscessGranulomaNeoplasm
Inner ear Trauma & fractures of temporal boneMeniere,s disease Vestibular schwanoma
Nerves of referred pain Trigeminal nerveGlossopharyngeal nerveVagus nerveFacial nerve2nd and 3rd cervical nerves
Via 2nd and 3rd cervical nervesHerpes zosterArthritis of TM joint Spondylosis of TM joint
Thank you