Korean J Fam Med.  2013 May;34(3):221-223. 10.4082/kjfm.2013.34.3.221.

Referred Otalgia Induced by a Large Tonsillolith

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea. entkks@naver.com

Abstract

Herein, we report an unusual case of large tonsillolith presented with acute otalgia. Since the tonsils and tonsillar fossa are supplied by the glossopharyngeal nerve, any irritation or pain can be referred to the ear along the tympanic branch of the glossopharyngeal (Jacobson's) nerve. Also, it is worth re-emphasizing that normal otoscopy must be followed by inspection of the nasal cavities, oral cavity, and oropharynx, with particular note given to the floor of mouth, teeth, tongue, and tonsils because the identification of a causative etiology is necessary to successfully treat referred otalgia.

Keyword

Tonsillolith; Referred Otalgia; Glossopharyngeal Nerve

MeSH Terms

Ear
Earache
Glossopharyngeal Nerve
Mouth
Mouth Floor
Nasal Cavity
Oropharynx
Otoscopy
Palatine Tonsil
Tongue
Tooth
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