Kim Kyung Soo
Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Korean J Fam Med. 2013 May;34(3):221-3. doi: 10.4082/kjfm.2013.34.3.221. Epub 2013 May 24.
Herein, we report an unusual case of large tonsillolith presented with acute otalgia. Since the tonsils and tonsillar fossa are supplied by the glossopharyngeal nerve, any irritation or pain can be referred to the ear along the tympanic branch of the glossopharyngeal (Jacobson's) nerve. Also, it is worth re-emphasizing that normal otoscopy must be followed by inspection of the nasal cavities, oral cavity, and oropharynx, with particular note given to the floor of mouth, teeth, tongue, and tonsils because the identification of a causative etiology is necessary to successfully treat referred otalgia.
在此，我们报告一例表现为急性耳痛的巨大扁桃体结石罕见病例。由于扁桃体和扁桃体窝由舌咽神经支配，任何刺激或疼痛都可经舌咽（雅各布森）神经的鼓室支传至耳部。此外，值得再次强调的是，在进行正常耳镜检查后，必须检查鼻腔、口腔和口咽，尤其要注意口腔底部、牙齿、舌头和扁桃体，因为确定病因对于成功治疗牵涉性耳痛是必要的。
