Department of Radiology, Beth Israel Medical Center, New York, NY, USA.
AJNR Am J Neuroradiol. 2009 Nov;30(10):1817-23. doi: 10.3174/ajnr.A1605. Epub 2009 Oct 1.
Pain referred to the ear is a well-documented phenomenon, which can be due to a multitude of disease processes. With the recent and rapid progression of CT and MR imaging technology, radiologists have played an increasing role in solving this potentially difficult diagnostic dilemma. Essentially any pathology residing within the sensory net of cranial nerves V, VII, IX, and X and the upper cervical nerves C2 and C3 can potentially cause referred otalgia. This article will attempt to outline the various sensorineural pathways that dually innervate the ear and other sites within the head and neck, as well as discuss various disease processes that are known to result in referred otalgia.
牵涉性耳痛是一种已有充分文献记载的现象，可由多种疾病过程引起。随着 CT 和磁共振成像技术的近期快速发展，放射科医生在解决这一潜在困难的诊断难题方面发挥了越来越大的作用。本质上，任何位于颅神经 V、VII、IX 和 X 的感觉神经网以及颈神经 C2 和 C3 上部的病理学都可能导致牵涉性耳痛。本文将尝试概述双重支配耳部和头颈部其他部位的各种感觉神经通路，并讨论已知可导致牵涉性耳痛的各种疾病过程。
