Ear Pain (Otalgia) 

The most common cause of ear pain is infection either of the external canal (otitis externa, furunculosis) or middle ear (otitis media). The nerves which provide sensation to the mouth, nose and throat also supply the ear and the jaw (temporomandibular) joint. Pain may therefore also be referred from strain of the jaw joint with spasm of the adjacent chewing muscles, or conditions affecting other ENT sites.


Microscopy / Microsuction and a Swab for microscopy / culture may be required to diagnose an ear infection with pure tone audiometry, tympanometry to assess the possible impact on hearing. When there is no ear infection referred otalgia requires a full ENT flexible endoscopy examination procedure.