Clinical Differences in Types of Otalgia
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Background and Objectives: Although otalgia is usually associated with ear problems, it may also originate outside the ear. We therefore assessed the clinical characteristics of patients with otalgia. Subjects and Methods: We analyzed 294 patients who presented with otalgia. We assessed differences in otalgia between adults and children, differences in otogenic vs. referred otalgia between adults and children, differences between men and women. Results: Of the 294 patients, 208 (70.7%) had otogenic otalgia and 86 (29.3%) had referred otalgia. Hearing disturbance and otorrhea were significantly more common in otogenic otalgia, whereas rhinorrhea, sore throat, and postnasal drip were significantly more common in referred otalgia. Children were more likely to have otogenic otalgia than adults. The proportion of patients with referred otalgia was significantly higher in adults than in children (p<0.05). Otogenic otalgia was more common in men, whereas referred otalgia was more common in women. Among patients with referred otalgia, neuralgia was significantly more frequent in women than in men (p<0.05). Conclusions: Otogenic otalgia was more frequent in men than in women and in children than in adults, whereas referred otalgia was more frequent in women and adults, indicating that types of otalgia were dependent on age and gender.
Abstract
Background and Objectives: Although otalgia is usually associated with ear problems, it may also originate outside the ear. We therefore assessed the clinical characteristics of patients with otalgia. Subjects and Methods: We analyzed 294 patients who presented with otalgia. We assessed differences in otalgia between adults and children, differences in otogenic vs. referred otalgia between adults and children, differences between men and women. Results: Of the 294 patients, 208 (70.7%) had otogenic otalgia and 86 (29.3%) had referred otalgia. Hearing disturbance and otorrhea were significantly more common in otogenic otalgia, whereas rhinorrhea, sore throat, and postnasal drip were significantly more common in referred otalgia. Children were more likely to have otogenic otalgia than adults. The proportion of patients with referred otalgia was significantly higher in adults than in children (p<0.05). Otogenic otalgia was more common in men, whereas referred otalgia was more common in women. Among patients with referred otalgia, neuralgia was significantly more frequent in women than in men (p<0.05). Conclusions: Otogenic otalgia was more frequent in men than in women and in children than in adults, whereas referred otalgia was more frequent in women and adults, indicating that types of otalgia were dependent on age and gender.
참고문헌 (19)
- Majumdar S, "Diagnosis and management of otalgia in children", Arch Dis Child Educ Pract Ed, 94, pp.33~36 (2009)
- Murtagh J, "The painful ear", Aust Fam Physician, 20, pp.1779~1783 (1991)
- Wazen JJ, "Referred otalgia", Otolaryngol Clin North Am, 22, pp.1205~1215 (1989)
- Shah RK, "Otalgia", Otolaryngol Clin North Am, 36, pp.1137~1151 (2003)
- Reiss M, "Differential diagnosis of otalgia", Schmerz, 13, pp.392~397 (1999)
- Visvanathan V, "12 minute consultation: an evidence-based management of referred otalgia", Clin Otolaryngol, 35, pp.409~414 (2010)
- Osguthorpe JD, "Otitis externa: review and clinical update", Am Fam Physician, 74, pp.1510~1516 (2006)
- Scarbrough TJ, "Referred otalgia in head and neck cancer: a unifying schema", Am J Clin Oncol, 26, pp.e157~e162 (2003)
- Charlett SD, "Referred otalgia: a structured approach to diagnosis and treatment", Int J Clin Pract, 61, pp.1015~1021 (2007)
- Yanagisawa K, "Referred otalgia", Am J Otolaryngol, 13, pp.323~327 (1992)
- Jaber JJ, "Cervical spine causes for referred otalgia", Otolaryngol Head Neck Surg, 138, pp.479~485 (2008)
- CKim DS, "Dental otalgia", J Laryngol Otol, 121, pp.1127~1134 (2007)
- Ely JW, "Diagnosis of ear pain", Am Fam Physician, 77, pp.621~628 (2008)
- Majumdar S, "Diagnosis and management of otalgia in children", Arch Dis Child Educ Pract Ed, 94, pp.33~36 (2009)
- Leung AK, "Otalgia in children", J Natl Med Assoc, 92, pp.254~260 (2000)
- Chen RC, "The radiology of referred otalgia", AJNR Am J Neuroradiol, 30, pp.1817~1823 (2009)
- Neilan RE, "Otalgia", Med Clin North Am, 94, pp.961~971 (2010)
- Worrall G, "Acute earache", Can Fam Physician, 57, pp.1019~1021 (2011)
- Taziki MH, "A study of the etiology of referred otalgia", Iran J Otorhinolaryngol, 24, pp.171~176 (2012)