Traumatic neuroma of the tympanic (Jacobson's) nerve as a possible cause of otalgia.
OBJECTIVE
To show that traumatic neuroma of the tympanic (Jacobson's) nerve may be a cause of recurrent intractable otalgia in patients following radical mastoidectomies.


METHODS
Histologic evaluation of four temporal bones from three patients with a history of recurrent otalgia following radical mastoidectomy.


METHODS
The medical records of three patients with multiple middle ear surgeries in four ears because of recurrent otalgia were reviewed. Histopathologic studies of the four temporal bones were performed.


RESULTS
All four of the temporal bones that underwent multiple surgeries were found to have traumatic neuromas of the tympanic (Jacobson's) nerve.


CONCLUSIONS
Recurrent otalgia in patients after radical middle ear surgery may be caused by a traumatic neuroma of the tympanic (Jacobson's) nerve.
Naraev
Boris G
BG
House Ear Institute, Los Angeles, CA 90057, USA.
Linthicum
Fred H
FH
D000368:Aged; D004428:Ear Neoplasms / Q000209:etiology / Q000473:pathology*; D004432:Ear, Middle / Q000293:injuries / Q000294:innervation*; D004433:Earache / Q000209:etiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009463:Neuroma / Q000209:etiology / Q000473:pathology*; D013701:Temporal Bone / Q000473:pathology*