[Pain as a symptom in otolaryngology conditions].
Pain is very frequent in otolaryngology disease: headaches, facial pain, earaches, and neck pain. The search for nasal pathology with maxillary sinus, sphenoidal, or ethmoidal involvement is part of the workup for headache. Facial pain should first suggest symptomatic neuralgia through involvement of the cranial nerves - trigeminal, glossopharyngeal, superior laryngeal - even if asymptomatic neuralgia are the most frequent. Earaches should be investigated through a search for involvement of the ear at the pinna, the external acoustic conduit, and the tympanic membrane. If the ear examination is normal, pain irradiating from the masticatory apparatus, the parotid, or the oropharynx is undertaken, with a systematic search for a tumoral cause.
Service d'ORL et de chirurgie de la face et du cou, hôpital européen Georges-Pompidou, APHP, 20, rue Leblanc, 75015 Paris, France. stephane.hans@egp.aphp.fr
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D004423:Ear / Q000503:physiopathology*; D005157:Facial Pain / Q000503:physiopathology*; D005930:Glossopharyngeal Nerve / Q000503:physiopathology; D006261:Headache / Q000503:physiopathology*; D006801:Humans; D007823:Laryngeal Nerves / Q000503:physiopathology; D019547:Neck Pain / Q000503:physiopathology*; D009960:Oropharynx / Q000503:physiopathology; D014276:Trigeminal Nerve / Q000503:physiopathology