Geyer G
Univ.-HNO-Klinik und Poliklinik, Würzburg.
Laryngorhinootologie. 1990 Sep;69(9):491-4. doi: 10.1055/s-2007-998238.
As a guiding symptom, acute pain usually leads to the correct diagnosis. In most cases, chronic pain has lost its warning effect. It is often a diagnostic problem to localize the starting point of the pain. Thus, seeking the advice of a number of specialists has proved to be valuable. In more than half of the "pain patients", complaints of pain in the head and neck area are prevalent. The article deals with several pain syndromes which are of importance for the ENT physician. Pain in the ear can be caused by inflammation, tumor, or injury in the area of 5th, 7th, 9th, and 10th cranial nerves, and of the course of the cervical nerves 1-3. In facial pain, symptomatic reasons such as tumors along the involved nerves, Sjögren's, or styloid syndrome, have to be taken into consideration.
作为一种指导性症状，急性疼痛通常能引导出正确的诊断。在大多数情况下，慢性疼痛已失去其警示作用。确定疼痛的起始点往往是一个诊断难题。因此，向多位专家咨询已被证明是有价值的。在超过一半的“疼痛患者”中，头部和颈部区域的疼痛主诉很普遍。本文论述了几种对耳鼻喉科医生来说很重要的疼痛综合征。耳部疼痛可能由第5、7、9和10对脑神经区域以及颈神经1 - 3行程中的炎症、肿瘤或损伤引起。在面部疼痛中，必须考虑诸如受累神经沿线的肿瘤、干燥综合征或茎突综合征等症状性原因。
