Ear Pain / Otalgia - Differential Diagnosis Algorithm
Referred Otaliga:
• Via Vagus or Glossopharyngeal Nerves
• Nasopharyngeal, Oropharyngeal, Laryngeal, Hypopharyngeal Pain
• Thyroiditis
• Aerodigestive Tract Malignancy
• Post-tonsillectomy
Periauricular Otaliga:
• TMJ Pathology
• Parotiditis
External Auditory Canal:
• Otitis Externa
• Osteomyelitis of Temporal Bone
• Herpes Simplex Zoster (Ramsay Hunt Syndrome if Facial Nerve Paralysis)
• Furunculosis
Mastoid:
• Mastoiditis
Auricle:
• Cellulitis/perichondritis
• Trauma (Frostbite, Auricular Hematoma)
• Autoimmune (Relapsing Polychondritis)
Abnormal Tympanic Membrane:
• Acute Otitis Media
• Barotrauma
• Traumatic Perforation
Ulceration/ Abnormal Tissue Growth:
• Squamous Cell Carcinoma
• Sarcoma
• Cholesteatoma (Typically Otorrhea)
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