1.A Rare Cause of Otalgia and Otorrhagia: Alive Leech in the Ear
Mohd Syafwan Mohd Soffian ; Irfan Mohama ; Norasnieda Md Shukri
Malaysian Journal of Medicine and Health Sciences 2016;12(2):49-51
Leech infestation in otolaryngology is sporadically seen in
remote area of tropical countries, but the cases are usually not
scientifically reported. We are reporting an unusual case of a
land leech removal from external auditory canal (EAC)
Earache
2.Clinical Differences in Types of Otalgia.
Sang Hoon KIM ; Tae Hyun KIM ; Jae Yong BYUN ; Moon Suh PARK ; Seung Geun YEO
Journal of Audiology & Otology 2015;19(1):34-38
BACKGROUND AND OBJECTIVES: Although otalgia is usually associated with ear problems, it may also originate outside the ear. We therefore assessed the clinical characteristics of patients with otalgia. SUBJECTS AND METHODS: We analyzed 294 patients who presented with otalgia. We assessed differences in otalgia between adults and children, differences in otogenic vs. referred otalgia between adults and children, differences between men and women. RESULTS: Of the 294 patients, 208 (70.7%) had otogenic otalgia and 86 (29.3%) had referred otalgia. Hearing disturbance and otorrhea were significantly more common in otogenic otalgia, whereas rhinorrhea, sore throat, and postnasal drip were significantly more common in referred otalgia. Children were more likely to have otogenic otalgia than adults. The proportion of patients with referred otalgia was significantly higher in adults than in children (p<0.05). Otogenic otalgia was more common in men, whereas referred otalgia was more common in women. Among patients with referred otalgia, neuralgia was significantly more frequent in women than in men (p<0.05). CONCLUSIONS: Otogenic otalgia was more frequent in men than in women and in children than in adults, whereas referred otalgia was more frequent in women and adults, indicating that types of otalgia were dependent on age and gender.
Adult
;
Child
;
Ear
;
Earache*
;
Female
;
Hearing
;
Humans
;
Male
;
Neuralgia
;
Pharyngitis
3.Objective Tinnitus due to Spontaneous Temporomandibular Joint Herniation Treated by Reconstruction with Titanium Mesh.
Jee Nam SONG ; Myung Joo SHIM ; Sang Won YEO ; Shi Nae PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 2014;57(1):46-49
Herniation of the temporomandibular joint (TMJ) into the external auditory canal (EAC) is known to be associated with a defect of the anterior wall of the EAC. Spontaneous herniation of TMJ into EAC is very rare and can induce clicking tinnitus, conductive hearing loss, otalgia, otorrhea and even no symptom. Here we report a very interesting case of spontaneous TMJ herniation, which resulted in severe and annoying clicky tinnitus and otalgia. There was no response to the initial conservative management, so surgical correction of TMJ herniation using titanium mesh was performed. After the surgery, the annoying clicky tinnitus completely disappeared. This study suggests that tinnitus caused by TMJ herniation be considered as another type of surgically curable objective tinnitus.
Ear Canal
;
Earache
;
Hearing Loss, Conductive
;
Temporomandibular Joint*
;
Tinnitus*
;
Titanium*
4.Granulation tissue mimicking a glomus tumor in a patient with chronic middle ear infection.
Kimberly Mae C. Ong ; Patrick John P. Labra ; Rosario R. Ricalde ; Criston Van C. Manasan ; Jose M. Carnate, Jr.
Philippine Journal of Otolaryngology Head and Neck Surgery 2016;31(2):31-35
OBJECTIVE: To present an unusual cause of pulsatile tinnitus, presenting in a young adult suffering from chronic recurrent foul-smelling discharge from the same ear.
METHODS:
Design: Case Report
Setting: Tertiary National University Hospital
Patient: One
RESULTS: A 24 year-old woman presented with pulsatile tinnitus on a background of chronic recurrent foul-smelling discharge. Clinico-radiologic findings seemed consistent with a glomus tympanicum coexisting with chronic suppurative otitis media with cholesteatoma. She underwent tympanomastoidectomy with excision of the mass. Histopathologic evaluation revealed the mass to be granulation tissue.
CONCLUSION: Pulsatile tinnitus is rarely associated with chronic middle ear infection. Granulation tissue arising at the promontory may mimic glomus tumors when accompanied with this symptom. Despite this revelation, it would still be prudent to prepare for a possible glomus tumor intraoperatively so that profuse bleeding and complications may be avoided.
Human ; Female ; Young Adult ; Earache ; Headache ; Vertigo ; Glomus Tumor ; Cholesteatoma
5.Diagnosis and Treatment of Otalgia.
Korean Journal of Otolaryngology - Head and Neck Surgery 2013;56(4):191-200
Otalgia is a common symptom with diverse causes due to its complex sensory innervations. It can be broadly classified into two groups. Primary (otogenic) otalgia is defined as pain resulting from ear diseases and secondary (referred) otalgia arises from pathologic processes and structures other than the ear. Its workup is complex and no simple algorithm exists. In this review, authors collected and analyzed articles on otalgia and described anatomical considerations and clinical evaluation of otalgia, and outlined various causes and treatment options for primary and referred otalgia.
Ear
;
Ear Diseases
;
Earache
;
Facial Pain
;
Pathologic Processes
6.A Clinical and Mycological Study of Otomycosis.
Korean Journal of Medical Mycology 1999;4(1):15-20
BACKGROUND: Because of recent concern about occurrence of otomycosis in otolaryngologic practice, we studied them. OBJECTIVE: The purpose of this study was to investigate clinical and mycological features of otomycosis. METHOD: We evaluated the clinical and mycological aspects of otomycosis in 38 patients from March 1996 to February 1998 in Dongguk University Hospital. RESULTS AND CONCLUSION: Otomycosis showed high incidence in the twenties (23.7%). The ratio of male to female patient was 1:1.5. The seasonal prevalence was highest in autumn. Most common symptoms were otorrhea (39.4%) followed by itching, obstruction sensation, otalgia, and hearing disturbance. The common causative organisms of otomycosis were Aspergillus(A.) niger (36.8%) followed by A. terreus (26.3%), A. flavus (21.1%), A. fumigatus (7.9%), Candida albicans (5.3%), and Mucor sp. (2.6%).
Candida albicans
;
Earache
;
Female
;
Hearing
;
Humans
;
Incidence
;
Male
;
Mucor
;
Niger
;
Otomycosis*
;
Prevalence
;
Pruritus
;
Seasons
;
Sensation
7.Ramsay Hunt Syndrome.
Sung Kyun KIM ; Sun Wook HWANG ; Chun Pyoung LIM
Korean Journal of Dermatology 1980;18(2):161-167
A case of Ramsay Hunt syndrome, though more often seen at the ENT clinic because of the patients' concern with symptoms in the ear, was seen and treated at the Dermatologic Clinic of Chosun University. A 29 year old male patient presented earache, pinhead to rice sized erythematous vesicular eruption on the external auditory canal, auricle and superior auricular area, and facial paralysis, all involving the right side of the face, duration of which were 7 days, 5 days and 1 day respectiveIy. High doses of prednisolone alone made it possible to remit the otalgia, control the vesicular eruption and resolute the facial paralysis almost completely within 18 days in the order of their appearance, indicating that this is one of the more easily treated diseases for dermatologists, The 22 cases of this syndrome reported in Korean literature were reviewed and the conceptual development of its pathogenesis and definition was described.
Adult
;
Ear
;
Ear Canal
;
Earache
;
Facial Paralysis
;
Herpes Zoster Oticus*
;
Humans
;
Male
;
Prednisolone
8.The Effect of Intramuscular Stimulation on Otalgia due to Myofascial Pain Syndrome by Contraction of Trapezius Muscle.
Soonchunhyang Medical Science 2014;20(2):156-158
There are several causes of otalgia, specifically primary otalgia, which originates inside the ear, and referred otalgia, which originates outside the ear. In a rare case, otalgia may result from myofascial pain syndrome (MPS) due to a contraction of cervical muscles. The author of this study reports a case in which otalgia caused by MPS due to contraction of the trapezius muscle was treated with intramuscular stimulation (IMS). A 48-year-old female patient with otalgia for two weeks was otolaryngologically tested and no anomaly was found. A pain clinic consultation was requested and severe contraction of the trapezius muscle was observed by history taking, visual inspections and palpation. She was successfully returned to the normal state with two sessions of IMS.
Ear
;
Earache*
;
Female
;
Humans
;
Middle Aged
;
Muscles
;
Myofascial Pain Syndromes*
;
Pain Clinics
;
Palpation
;
Superficial Back Muscles*
9.Otalgia Caused by a Trigger Point in the Sternocleidomastoid Muscle: A case report.
Young Sun SEO ; Seong Ho CHANG ; Ji Yong PARK ; Hae Ja LIM ; Hye Won LEE ; Suk Min YOON
Korean Journal of Anesthesiology 2004;46(4):497-498
Myofascial pain syndrome is defined as the sensory, motor and autonomic symptoms caused by the myofascial trigger points. The sternocleidomastoid muscle is a complex muscle that frequently contains multiple trigger points. These trigger points cause symptoms that are easily misdiagnosed as other conditions. Earache of unexplained origin is likely to be caused by trigger points in the clavicular division of the sternocleidomastiod muscle. The authors report a case of earache caused by a trigger point in the sternocleidomastoid muscle. A 34 year-old woman had earache without any history of trauma or infection. The patient did not have any abnormal finding by otolaryngologic testing, except for an earache, which had not subsided. On physical examination, trigger points in the clavicular division of the sternocleidomastiod muscle were found, and the earache was successfully treated by trigger point injections.
Adult
;
Earache*
;
Facial Neuralgia
;
Female
;
Humans
;
Myofascial Pain Syndromes
;
Pain, Referred
;
Physical Examination
;
Trigger Points*
10.Wegener's Granulomatosis Presenting as Bilateral Otalgia with Facial Palsy: A Case Report.
Jeong Hyun LEE ; Kun Woo KIM ; Na Hye MYONG ; Jae Yun JUNG
Korean Journal of Audiology 2013;17(1):35-37
Wegener's granulomatosis (WG) is defined as a granulomatous inflammation of the upper and lower respiratory tract due to a systemic vasculitis. Facial nerve palsy may occur during the course of any granulomatous or vasculitis disease. But very few cases have been reported in which facial nerve palsy is the presenting feature of WG. We recently experienced an interesting case of WG presenting as acute middle ear infection and subsequent bilateral facial palsy.
Ear, Middle
;
Earache
;
Facial Nerve
;
Facial Paralysis
;
Inflammation
;
Paralysis
;
Respiratory System
;
Systemic Vasculitis
;
Vasculitis
;
Wegener Granulomatosis