Jaber James J, Leonetti John P, Lawrason Amy E, Feustel Paul J
Loyola University Medical Center, Department of Otolaryngology-Head and Neck Surgery, Maywood, IL 60153, USA.
Otolaryngol Head Neck Surg. 2008 Apr;138(4):479-85. doi: 10.1016/j.otohns.2007.12.043.
Present experience in diagnosis and treatment for referred otalgia secondary to cervical spine degenerative disease (CSDD).
A retrospective study of 123 patients with ear pain.
All patients had a normal otologic examination and diagnosed with unspecified otalgia. The causes for referred otalgia were categorized into Group I: otalgia from non-cervical spine disease (n = 72), and Group II: cervical spine disease-referred otalgia (n = 51). Pain relief following cervical spine physical therapy (CSPT) was assessed.
The most common cause for referred otalgia in Group I was Temporomandibular joint (TMJ) dysfunction (46%); most common cervical spine finding in Group II was CSDD (88%). CSPT in those documented patients all reported subjective pain relief.
As the population in America ages, CSDD in the elderly will begin to emerge as a major etiologic source for referred otalgia. With a targeted medical history and physical examination one can use directed studies to diagnose CSDD-referred otalgia, and this pain can be alleviated with CSPT.
介绍继发于颈椎退行性疾病（CSDD）的牵涉性耳痛的诊断和治疗经验。
对123例耳痛患者进行回顾性研究。
所有患者耳部检查均正常，诊断为不明原因耳痛。将牵涉性耳痛的病因分为I组：非颈椎疾病引起的耳痛（n = 72），和II组：颈椎疾病引起的牵涉性耳痛（n = 51）。评估颈椎物理治疗（CSPT）后的疼痛缓解情况。
I组中牵涉性耳痛最常见的原因是颞下颌关节（TMJ）功能障碍（46%）；II组中最常见的颈椎病变是CSDD（88%）。所有记录在案的患者接受CSPT后均报告主观疼痛缓解。
随着美国人口老龄化，老年人的CSDD将开始成为牵涉性耳痛的主要病因。通过有针对性的病史和体格检查，可利用定向检查来诊断CSDD引起的牵涉性耳痛，且这种疼痛可通过CSPT得到缓解。
