OM VERMA ASSOCIATE PROFESSOR GRACIOUS COLLEGE OF NURSING

1. GRACIOUS COLLEGE OF NURSING
OTALGIA
PRESENTED BY
OM VERMA
ASSOCIATE PROFESSOR

5. According to luckmans
Pain in the inner or outer ear that may interfere
with ability to hear, often caused by excess fluid
and infection.
According to Brunner and suddharth’s

6. ( Secondary otalgia )

10. Infection in vesicles on the tympanic
membrane

13. A. VIA TRIGEMINAL NERVE
TEETH INFECTION - impacted 3rd molar mal- occlusion
ORAL CAVITY INFECTION ulcer, malignancy,
LUDWIG'S ANGINA, -
is a type of bacterial infection that occurs in the floor of the
mouth, under the tongue.
mouth, under the tongue.
SIALADENITIS
A salivary gland infection is also called sialadenitis and is caused
by bacteria or viruses. A salivary stone or other blockage of the
salivary gland duct can contribute to an acute infection. Chronic
inflammation of a salivary gland can cause it to stop functioning.

14. Oral cavity infection Salivary calculus
Sialolithiasis (also termed salivary calculi, or
salivary stones), is a condition where a
calcified mass or sialolith forms within a
calcified mass or sialolith forms within a
salivary gland, usually in the duct of the
submandibular gland then lead the ear pain

15. Temporo-mandibular joint:
arthritis, dysfunction.
Nose & PNS (Para nasal sinuses) :
impacted DNS (Deviated nasal
impacted DNS (Deviated nasal
septum), sinusitis, neoplasm
Nasopharynx: Infection, post-
adenoidectomy, adenoiditis, tumor

16. TRIGEMINAL NEURALGIA
Is A Condition That Causes Painful
Sensations Similar To An Electric Shock
On One Side Of The Face
On One Side Of The Face

18. Eagle's syndrome
is a condition associated with
the elongation ( lengthened) of
the styloid process or
calcification of the stylohyoid
calcification of the stylohyoid
ligament, clinically characterized
by throat and neck pain,
radiating into the ear.

20. Glossopharyngeal neuralgia
is a rare condition in which there
are repeated episodes of severe
pain in the tongue, throat, ear,
pain in the tongue, throat, ear,
and tonsils. This can last from a
few seconds to a few minutes

21. C ) VIA FACIAL NERVE
Herpes zoster oticus -a viral infection
of a nerve that causes a painful rash on
the face including the ear.
Vestibular schwannoma - a benign tumor
that develops on the balance (vestibular) and
hearing,

22. D ) VIA VAGUS NERVE –
larynx and hypo pharynx neoplasm
,infection ,tuberculosis ,trauma foreign
body
E ) VIA SECOND AND THIRD CERVICAL
NERVE
Herpes zoster ,cervical spondylosis ( a
painful condition of the spine ) and arthritis

25. Lead to otalgia

26. Symptoms include dizziness, hearing loss,
nausea and vomiting and rapid involuntary
nausea and vomiting and rapid involuntary
eye movement. Sore throats (pharyngitis)
or tonsillitis.and dental problems

27. DIAGNOSTIC EVALUATIONS
History taking
Physical examination
Complete blood cell count
Dental radiography
Dental radiography
CT scanning and MRI
PET scanning
Audiometry
Vestibulocochlear testing

28. Dental radiographs
commonly known as X-rays, are radiographs used
to diagnose hidden dental structures, malignant or
benign masses, bone loss, and cavities and
identification for ear pain .
CT scans and MRI
provide pictures of tissues, organs, and skeletal
structure while MRIs are more detailed and can
show abnormal tissue

29. Positron emission tomography
(PET) scans It is used to produce
detailed three-dimensional images of
the inside of the body. The images can
clear show the part of the body being
,
clear show the part of the body being
investigated, including any abnormal
areas, and can highlight how well certain
functions of the body are working.
,

30. Audiometry Ear Test
An audiometry exam tests your ability to hear
sounds. Sounds vary, based on their loudness
(intensity) and the speed of sound wave
vibrations (tone). Hearing occurs when sound
waves stimulate the nerves of the inner ear.
waves stimulate the nerves of the inner ear.
An audiogram is a graph that shows the
softest sounds a person can hear at different
pitches or frequencies. The closer the marks
are to the top of the graph

31. Vestibulocochlear Nerve Test
The Rinne and Weber tests are commonly
used to assess for sensorineural and
conductive deafness ( when sounds cannot
conductive deafness ( when sounds cannot
get through the outer and middle ear. ) I. In
the Weber test, the base of a gently vibrating
tuning fork is placed on the midforehead or
the vertex. The patient is asked which ear
hears the sound better.

34. MEDICAL MANAGEMENT
Identification of a causative etiology is often
necessary to successfully treat referred otalgia.
Once determined, most causes of referred
otalgia can be readily treated.
otalgia can be readily treated.
Use antibiotics in treating various types of
infections (eg, tonsillitis, pharyngitis, sinusitis).
Use antiviral if the causative agent is suspected
to be viral, such as in cases associated with
herpes zoster

35. Otalgia Medication:
Antibiotics, Amoxicillin
Antiviral, Acyclovir
Antifungal, Fluconazole
Antifungal, Fluconazole
Analgesics. benzocaine
otic

36. Acetaminophen is in a class of medications called
analgesics (pain relievers) and antipyretics (fever
reducers). It works by changing the way the body senses
pain and by cooling the body.
650 mg once every 4-6 hours
Ibuprofen is a nonsteroidal anti-inflammatory drug
Ibuprofen is a nonsteroidal anti-inflammatory drug
(NSAID). It works by blocking your body's production of
certain natural substances that cause inflammation. This
effect helps to decrease swelling, pain, or fever.
Adults—400 milligrams (mg) every four
hours,

37. Antiviral, Acyclovir
Is used to decrease pain and speed the healing of sores
or blisters in people who have varicella (chickenpox),
herpes zoster 200 mg every 4 hr
Antibiotics, Amoxicillin
Mild to moderate disease: 500 mg every 12 hours, or
250 mg every 8 hours for 5 - 7 days. It works
250 mg every 8 hours for 5 - 7 days. It works
by stopping the growth of bacteria.
Analgesics.
Antipyrine and benzocaine otic Antipyrine 54 mg,
Benzocaine 14 mg; is used to relieve ear pain and
swelling caused by middle ear infections.

38. Is surgery to remove cells in the hollow,
air-filled spaces in the skull behind the ear
within the mastoid bone