Perić Aleksandar
Department of Otorhinolaryngology, Military Medical Academy School of Medicine, Belgrade, Serbia.
Craniomaxillofac Trauma Reconstr. 2019 Mar;12(1):67-69. doi: 10.1055/s-0038-1660440. Epub 2018 Jun 27.
Rhinogenic contact point otalgia is a new term in medicine and it represents earache as a form of facial pain that is caused by intranasal mucosal contact points between the nasal septal spur or septal deviation and lateral nasal wall. It is a referred otalgia without any signs of inflammation. The author reports an unusual case of a 19-year-old male who complained of a 5-year history of right-sided otalgia and tinnitus. On physical exam, a big, right-sided nasal septal spur was seen in contact with the right lateral nasal wall. Other findings are unremarkable. Placement of anesthetic and vasoconstrictor solution provided relief of symptoms. After the exclusion of other causes of otalgia, and after surgical removal of septal spur, the patient experienced a significant relief of symptoms.
鼻源性接触点性耳痛是医学上的一个新术语，它指的是一种面部疼痛形式的耳痛，由鼻中隔棘突或鼻中隔偏曲与鼻外侧壁之间的鼻内粘膜接触点引起。这是一种没有任何炎症迹象的牵涉性耳痛。作者报告了一例不寻常的病例，一名19岁男性，主诉右侧耳痛和耳鸣5年。体格检查时，可见一个大的右侧鼻中隔棘突与右侧鼻外侧壁接触。其他检查结果无异常。使用麻醉剂和血管收缩剂溶液后症状缓解。排除其他耳痛原因后，手术切除鼻中隔棘突后，患者症状明显缓解。
