IJCRR - Vol 06 Issue 14, July, 2014
CLINICAL PROFILE OF REFERRED OTALGIA IN A TERTIARY HEALTH CENTRE - A RETROSPECTIVE STUDY
Author: Geetha K. Siddapur, Kishan R. Siddapur
Objectives: Assessment of age and gender distribution amongst otalgia cases, identification and categorization of referred nerve pathways, etiological factors, and analysis of significance by statistically correlating occurrence of cervical spine degenerative disease (CSDD) with respect to age and gender factors. Methods: The study conducted is retrospective, which included otalgia cases examined between April 2010 and April 2014. A total of 693 cases of otalgia were identified by ENT (Ear Nose Throat) and head and neck examination, dental and orthopedic data from the respective in and out patient departments. Radiographic records were referred wherever relevant. Patients were separated into two cohorts. Group I included Cervical Spine Degenerative Disease cases (CSDD) and Group II, Non- cervical spine degenerative disease cases. The data collected was tabulated and statistically analyzed. Results: Of total 693 otalgia cases, referred otalgia (n=169 cases) accounted for 24.4%. Females outnumbered males, accounting for 66.9% of the cases. Age group 20-40 years was affected the most (48.5%), followed by 40-60years age group (29.6%). Dental pathology outnumbered the etiological factors (30.8%), followed by cervical spine degenerative disease (CSDD) [26.6%] and Temporo Mandibular joint dysfunction (TMJD) [19.5%]. Conclusion: Middle age group involvement in Group I (cervical spine degenerative disease cases) was in contrast to most other studies, where, elderly age group was most commonly affected. Therefore, high index of suspicion should be borne in mind to diagnose referred otalgia due to cervical spine degenerative disease in younger to middle age groups, without which, many such cases could be misdiagnosed or undiagnosed.
Keywords: Retrospective, Primary, Referred otalgia, Auriculotemporal nerve, cervical spondylosis
Geetha K. Siddapur, Kishan R. Siddapur. CLINICAL PROFILE OF REFERRED OTALGIA IN A TERTIARY HEALTH CENTRE - A RETROSPECTIVE STUDY International Journal of Current Research and Review. Vol 06 Issue 14, July, 17-24
1. Shah RK, Blevins NH. Otalgia. OtolaryngolClin North Am 2003;36:1137–51.
2. Thaller SR. Otalgia with a normal ear. Am Fam Physician 1987;36:129–36.
3. SiddiqM, Samra M. Otalgia. BMJ 2008;336:276-77.
4. Jaber J, Leonetti P, Lawrason A and Feustel P. Cervical spine causes for referred otalgia.Otolaryngol Head Neck Surg 2008;138:479- 85.
5. Powers WH, Britton BH. Nonotogenicotalgia: diagnosis and treatment. Am J Otol 1980;2:97–104.
6. Kreisberg MK, Turner J. Dental causes of referred otalgia. Ear Nose Throat J 1987 Oct;66:398–408.
7. Scarbrough TJ, Day TA, Williams TE, et. al. Referred otalgia in head and neck cancer: a unifying schema. Am J ClinOncol 2003;26:e157– 62.
8. Yanagisawa K, Kveton JF. Referred otalgia. Am J Otolaryngol 1992;13:323–7.
9. Chen R,khorsandi S,Shatzkes D, Holliday R.The radiology of referred otalgia.American Society of Neuroradiology 2009.
10. Vedasalam S, Sipaul F, Porter G. Internal laryngocoele and referred otalgia. BMJ Case Reports2010;10.
11. Tuz H, Onder EM, Kisnisci RS. Prevalence of otologic complaints in patients with temporomandibular disorder. Am J OrthodDentof Orthopedic 2003;123:620-23.
12. van der Meulen M, Ohrbach R, Aartman I, Naeije M, Lobbezoo F. "Temporomandibular disorder patients' illness beliefs and selfefficacy related to bruxism". J Orofac Pain 2010;24:367–72.
13. Seedorf H, Jude H.Otalgia in patients with temporomandibular joint disorders. NCPI Laryngorhinootologie 2006;85:327-32.
14. James J, John P, Amy E, Paul J. Cervicalspinecauses for referredotalgia. Otolaryngology - Head and Neck Surgery 2008;138:479–85.
15. Kim D, Cheang P, Dover S, et. al. Dental otalgia. J LaryngolOtol 2007;121:1129– 34.
16. Danish SF, Zager EL. Cervical spine meningioma presenting as otalgia: case report. Neurosurgery 2005;56(3):E621
17. Kuttila SJ, Kuttila MH, Niemi PM, et. al. Arch.Otolaryngol Head Neck Surg 2001;127:401–5.
18. Saal JS, Saal JA, Yurth EF. Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine 1996;21:1877–83.