Pain in the ear is one of the most disturbing of human experiences .Mostly it is due to problem in the ear itself and diagnosis is simple after accurate history and thorough examination of ear, nose and throat.
Sometimes earache may be referred from pathology of remote areas (known as referred earache). Nerves supplying sensation to ear also supplies to other areas and because of some unexplainable reasons brain gets confused and perceives as earache when in fact problem may be in another part of the body. To find out the cause then is a challenge to E.N.T. specialist.
In children sometimes it may be just a reason to escape from school.
Acute otitis media
Via IX nerve(Glossopharyngeal)
Lesions of base of tongue-ulcer/tuberculosis/ malignancy
Lesions of oropharynx-Pharyngitis/tonsillitis. Abscess of spaces around tonsil area Ulcer.After tonsillectomy surgery
Elongated styloid process stretching IX nerve
Via 5th nerve (Trigeminal nerve)
Lesion from teeth and jaw- carious tooth, impacted wisdom tooth
Temporo-Mandibular joint disorder
Oral cavity and tongue-ulcers
Nose and sinuses
Nasopharynx- ulcer/infection/after adenoids surgery
Lesions in the salivary glands-mumps/ parotitis
Via X nerve (Vagus nerve)
Lesions in the laryngopharynx -t.b/malignancy
Lesions in the larynx-laryngitis
Lesions in the oesophagus-F.B./tumor
Via Cervical 2nd and 3rd nerve
Cervical disc lesions
Cervical spine arthritis