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Bahari M, Jafari F. Referred otalgia secondary to rotator cuff tendon tear and acromioclavicular joint osteoarthritis: A Case Report and Review of Literature. Journal of Research in Applied and Basic Medical Sciences 2024; 10 (2) :185-190
URL: http://ijrabms.umsu.ac.ir/article-1-323-en.html
Physiotherapy ward, Petroleum Industry Health Organization, Eram Blvd, Shiraz, Iran , milad_b1371@yahoo.com
Abstract:   (677 Views)
Background:  Otalgia is a very common symptom induced by a wide variety of diseases. Depending on the location of the pathology, otalgia is categorized into primary and secondary types. In primary otalgia, the main source of the pain is located within the ear. On the contrary, secondary or referred otalgia is defined as a disorder which the underlying pathology is outside of the ear complex giving rise to the sensation of pain in the ear. Multiple etiologies have been reported to produce secondary otalgia including temporomandibular joint dysfunctions, cervical spine pathologies, laryngitis, pharyngitis and tonsillitis.
Case Presentation:  In this study, we present a 57-year-old man with referred otalgia, associated to rotator cuff tendon tear and acromioclavicular joint osteoarthritis, which is uncommon and atypical.
Conclusion: Shoulder pathologies like rotator cuff tendon tear and acromioclavicular joint osteoarthritis can be considered as a possible but rare cause of referred otalgia

 
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Type of Study: case report | Subject: Other

References
1. Harrison E, Cronin M. Otalgia. Aust Fam Physician 2016;45:493-7. [] [PMID]
2. Olsen KD. The many causes of otalgia. Infection, trauma, cancer. Postgrad Med 1986;80(6):50-2. [DOI:10.1080/00325481.1986.11699588] [PMID]
3. Ghada M W F. Ear Anatomy. Glob J Otolaryngol 2017; 4(1): 555630. [URL]
4. Taboo A-A, Buraa F. Etiology of Referred Otalgia. Iraqi Postgrad Med J 2013;12(3):436-42. [URL]
5. Norris CD, Koontz NA. Secondary otalgia: Referred pain pathways and pathologies. AJNR Am J Neuroradiol 2020;41(12):2188-98. [DOI:10.3174/ajnr.A6808] [PMID] []
6. Charlett SD, Coatesworth AP. Referred otalgia: a structured approach to diagnosis and treatment: Referred otalgia: diagnosis and treatment. Int J Clin Pract 2007;61(6):1015-21. [DOI:10.1111/j.1742-1241.2006.00932.x] [PMID]
7. Neilan RE, Roland PS. Otalgia. Med Clin 2010;94(5):961-71. [DOI:10.1016/j.mcna.2010.05.004] [PMID]
8. Siddiq MA, Samra MJ. Otalgia. Br Med J 2008;336(7638):276-7. [DOI:10.1136/bmj.39364.643275.47] [PMID] []
9. Fenton JE, Uzomefuna V, O'Rourke C, Kaare M. Applying the Ts of referred otalgia to a cohort of 226 patients. Clin Otolaryngol 2018;43(3):937-40. [DOI:10.1111/coa.13069] [PMID]
10. Chen RC, Khorsandi AS, Shatzkes DR, Holliday RA. The radiology of referred otalgia. AJNR Am J Neuroradiol 2009;30(10):1817-23. [DOI:10.3174/ajnr.A1605] [PMID] []
11. Yanagisawa K, Kveton JF. Referred otalgia. Am J Otolaryngol 1992;13(6):323-7. [DOI:10.1016/0196-0709(92)90072-2] [PMID]
12. Kim SH, Kim TH, Byun JY, Park MS, Yeo SG. Clinical differences in types of otalgia. J Audiol Otol 2015;19(1):34-8 [DOI:10.7874/jao.2015.19.1.34] [PMID] []
13. Majumdar S, Wu K, Bateman ND, Ray J. Diagnosis and management of otalgia in children. Arch Dis Child Educ Pract Ed. 2009;94(2):33-6. [DOI:10.1136/adc.2007.117994] [PMID]
14. Ally M, Moinie A, Lomas J, Borsetto D, Mochloulis G, Bance M, et al. Aetiology and management options for secondary referred otalgia: a systematic review and meta-analyses. Eur Arch Otorhinolaryngol 2023;280(6):3033. [DOI:10.1007/s00405-023-07928-8] [PMID]
15. Taziki MH, Behnampour N. A study of the etiology of referred otalgia. Iran J Otorhinolaryngol 2012;24(69):171-6. [PMID]
16. Kreisberg MK, Turner J. Dental causes of referred otalgia. Ear Nose Throat J. 1987;66(10):398-408. [PMID]
17. Lam DK, Lawrence HP, Tenenbaum HC. Aural symptoms in temporomandibular disorder patients attending a craniofacial pain unit. J Orofac Pain 2001;15(2):146-57. [Google Scholar]
18. Kef K. Application of botulinum toxin in patients with secondary otalgia caused by bruxism. J Pain Res 2021;14:1051-9. [DOI:10.2147/JPR.S292550] [PMID] []
19. Lai K, Oshinyemi P, Grounds R. The painful ear. InnovAiT 2020;13(12):722-730. [DOI:10.1177/1755738020958028]
20. Ramazani F, Szalay-Anderson C, Batista AV, Park P, Hwang E, Chau J, et al. Referred otalgia: Common causes and evidence-based strategies for assessment and management. Can Fam Physician 2023;69(11):757-61. [DOI:10.46747/cfp.6911757] [PMID] []
21. Ashkenazi A, Levin M. Three common neuralgias. How to manage trigeminal, occipital, and postherpetic pain. Postgrad Med 2004;116(3):16-8, 21-4, 31-2. [DOI:10.3810/pgm.2004.09.1579] [PMID]
22. Tancredi A, Caputi F. Greater occipital neuralgia and arthrosis of C1-2 lateral joint. Eur J Neurol 2004;11(8):573-4. [DOI:10.1111/j.1468-1331.2004.00875.x] [PMID]
23. Hong C, Young E, Yong J, Il B, Seok W, Kyung S. Application of Pulsed Radiofrequency for 3rd Occipital Neuralgia A case report. Korean J Pain 2004;17(1):63-5. [DOI:10.3344/jkps.2004.17.1.63]
24. Gille O, Lavignolle B, Vital J-M. Surgical treatment of greater occipital neuralgia by neurolysis of the greater occipital nerve and sectioning of the inferior oblique muscle. Spine 2004;29(7):828-32. [DOI:10.1097/01.BRS.0000112069.37836.2E] [PMID]
25. Shah RK, Blevins NH. Otalgia. Otolaryngol Clin North Am 2003;36:1137-51. [DOI:10.1016/S0030-6665(03)00120-8] [PMID]
26. Ramazani F, Szalay-Anderson C, Batista AV, Park P, Hwang E, Chau J, et al. Referred otalgia: Common causes and evidence-based strategies for assessment and management. Can Fam Physician 2023;69(11):757-61. [DOI:10.46747/cfp.6911757] [PMID] []
27. Scarbrough TJ, Day TA, Williams TE, Hardin JH, Aguero EG, Thomas CR Jr. Referred otalgia in head and neck cancer: a unifying schema: A unifying schema. Am J Clin Oncol 2003;26(5):e157-62. [DOI:10.1097/01.coc.0000091357.08692.86] [PMID]
28. Anwar K, Khan S, Shahabi I, Niazi ZB. The frequency of involvement of head & neck sites in referred otalgia - An experience at a tertiary care hospital: Involvement of head & neck sites in referred otalgia. Pak J Med Sci Q 2019;35(4):1138-42 [DOI:10.12669/pjms.35.4.236]
29. Prasad KC, Kamath MP, Reddy KJ, Raju K, Agarwal S. J Oral Maxillofac Surg 2002;60:171-5. [DOI:10.1053/joms.2002.29814] [PMID]
30. Hatton P, Abbott RJ, Mitchell SC, Holland IM. A cervical cord tumour presenting with earache. Br J Hosp Med 1988;39(1):72. [PMID]
31. Danish SF, Zager EL. Cervical spine meningioma presenting as otalgia: Case report. Neurosurgery. 2005;56(3):E621. [DOI:10.1227/01.NEU.0000154061.47644.9C] [PMID]
32. aber JJ, Leonetti JP, Lawrason AE, Feustel PJ. Cervical spine causes for referred otalgia. Otolaryngol Head Neck Surg 2008;138(4):479-85. [DOI:10.1016/j.otohns.2007.12.043] [PMID]
33. Gamrath DJ. Consider atlanto-occipital joint dysfunction as a cause of secondary otalgia. Am Fam Physician 2018;98(3):142. [Google Scholar]
34. Iikuni F, Nomura Y, Goto F, Murakami M, Shigihara S, Ikeda M. Why do patients with fibromyalgia complain of ear-related symptoms? Ear-related symptoms and otological findings in patients with fibromyalgia. Clin Rheumatol 2013;32(10):1437-41. [DOI:10.1007/s10067-013-2287-2] [PMID]
35. Birnbaum J. Facial weakness, otalgia, and hemifacial spasm: A novel neurological syndrome in a case-series of 3 patients with rheumatic disease. Medicine 2015;94(40):e1445. [DOI:10.1097/MD.0000000000001445] [PMID] []
36. Earwood JS, Rogers TS, Rathjen NA. Ear pain: Diagnosing common and uncommon causes. Am Fam Physician 2018;97(1):20-7. [Google Scholar]
37. Dundar R, Kulduk E, Kemal Soy F, Sengul E, Ertas F. Myocardial infarction as a rare cause of otalgia. Case Rep Otolaryngol. 2014;2014:106938. [DOI:10.1155/2014/106938] [PMID] []
38. Mohammadi M, Ghadimi R, Saedi B. Empiric therapy in otolaryngologic manifestations of gastroesophageal reflux disease. Acta Medica Iranica 1970;43(1). [URL]
39. Stevenson J. Acute bacterial thyroiditis presenting as otalgia. J Laryngol Otol 1991;105(9):788-9. [DOI:10.1017/S0022215100117347] [PMID]
40. Bakhsh W, Nicandri G. Anatomy and physical examination of the shoulder. Sports Med Arthrosc 2018;26(3):e10-22. [DOI:10.1097/JSA.0000000000000202] [PMID]

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