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.