$Unique_ID{BRK00666} $Pretitle{} $Title{How Could a Problem in the Head, Neck or Throat Cause an Earache?} $Subject{otalgia earache ill defined symptom symptoms ear canal pain Sense senses hear hearing neck head throat cranial nerves Squamous cell carcinoma tonsil tongue base larynx hypopharynx oral cavity dental infection Disease temporomandibular nose sinus infections sinuses} $Volume{F-6, N-21} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. How Could a Problem in the Head, Neck or Throat Cause an Earache? ------------------------------------------------------------------------------ QUESTION: When I went to my doctor to treat an earache, we did a battery of tests on my ears, but found no cause for my problem. My doctor has asked me to schedule a follow-up appointment so he can examine my head, neck and throat. Does this make sense to you? How could a possible problem in these areas cause an earache? ------------------------------------------------------------------------------ ANSWER: The head, neck and throat exams are very good thinking on your doctor's part. Otalgia, or earache, is often caused by disease in the head and neck region. Many of the nerves in the neck transmit sensory impulses to the ear canal. Loss of sensation in the ear can actually be a symptom of a lesion in one of the cranial nerves, which are the nerves that extend from the brain without passing through the spinal cord. An earache in a person who smokes or drinks could be a symptom of cancer in the head or neck region. Squamous cell carcinoma often causes otalgia. This type of cancer is usually located in the tonsil, tongue base, larynx or hypopharynx. Other causes of ear pain are diseases of the oral cavity or dental infection, especially involving molars. Disease of the temporomandibular joint (the joint between the lower jaw and temporal bone of the skull) often causes otalgia, and, tumors or infections of the nose, sinus region, parts of the tongue or floor of the mouth are rare causes of otalgia. I am not trying to frighten you, but as in so many cases, a simple symptom is only the first warning of more complicated situations. You should make that appointment for thorough examinations of the head and neck as soon as possible; because, as you can see, many of the diseases for which ear pain is a symptom need prompt attention. Whatever the cause, an early diagnosis is always a key part of treatments with successful outcomes. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.