From Big Medical Encyclopedia

OTALGIA (Greek us, ot[os] yxo + algos pain) — the kind of neuralgia which is characterized by the spontaneous ear pain (timpanalgiya) or near it (mastoidalgiya) is not connected with pathology in an outside, middle or inner ear; is not followed by vestibular reactions and a hearing impairment. The lake occurs only at adults.

Allocate neurotic and irra-diatsionny the Lake. At neurotic O. the neuritis of the trigeminal, wandering, glossopalatine nerves arising against the background of flu, malaria, a diabetes mellitus, rheumatism, etc. happen the reason of pain in an ear. At irradiatsionny O. pain is connected with primary center of irritation, is more often with dontogenous pathology, and also adenoides, a hypertrophy of lymphoid educations in the field of mouths eustachian (acoustical, T.) pipes and a sidewall of a throat, inflammatory and destructive changes of an epiglottis and root of language, especially at tubercular defeats and tumors; sometimes pain is caused by deformation of a temporal and mandibular joint, napr, as a result of an injury. The lake can be display of hysteria.

The leading symptom in a wedge, a picture — spontaneous ear pain, manifestations of a basic disease fade into the background, and the patient remembers them only at purposeful inquiry. Diagnosis of O. gives the grounds for identification of primary center of irritation from where pain irradiates in an ear.

Irradiatsionny O.'s treatment is directed to elimination of primary center of irritation, at neurotic O. a symptomatic treatment; however novocainic blockade, anesthetics are, as a rule, not effective.

Bibliography: Romanenko D. A. To clinic and diagnosis of Herpes zoster oticus, Vestn, otorinolar., No. 1, page 50, 1980; Handbuch der Hals-Nasen-Ohrenheilkunde, hrsg, v. A. Denker u. O. Kahler, Bd 1, S. 611, 1926.

Yu. M. Ovchinnikov.