Gagnon P P
J Otolaryngol. 1978 Dec;7(6):549-55.
Otalgia is a common symptom in children. Otological examination usually reveals a local pathology as the causative agent. However, it does occur that otoscopy reveals normal ear drums and canals. The otologist must then review the causes of referred otalgia. We know that the ear is a nervous crossroad: vagus, trigeminal and third cervical nerve. The most common causes of referred otalgia are the teeth, the sinus, the mouth, the pharynx, and the larynx. If none of these factors is involved, one must then think about the painful temporomandibular dysfunction syndrome.
耳痛是儿童常见的症状。耳科检查通常会发现局部病变是病因。然而,确实存在耳镜检查显示鼓膜和耳道正常的情况。此时,耳科医生必须重新审视牵涉性耳痛的病因。我们知道耳朵是神经的交汇点:迷走神经、三叉神经和第三颈神经。牵涉性耳痛最常见的病因是牙齿、鼻窦、口腔、咽部和喉部。如果这些因素都不涉及,那就必须考虑疼痛性颞下颌关节功能紊乱综合征。