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Left otalgia. Severe furunculosis causing marked oedema and purulent otorrhoea.
© Bruce Black MD
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Left otalgia due to pseudomonal otitis externa. Characteristic green moist debris.
© Bruce Black MD
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Haemorrhagic bacterial otitis externa causing extreme pain, blockage and tenderness.
© Bruce Black MD
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Acute bacterial otitis media causing severe otalgia due to the tension of purulent debris on the drum from within the
middle ear. © Bruce Black MD
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True otalgia. Acute otitis media has been followed by drum perforation and bloody otorrhoea.
© Bruce Black MD
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Acute right otalgia. Spiny insect in the EAC. Drown with oily drops and remove by instrumentation.
© Bruce Black MD
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Peri-otic causes of otalgia. 1: TMJ, 2: Periotic lymphadenitis, 3: Parotitis/malignancy, 4: Post-aural
lymphadenitis, 5: Local musculoskeletal pain. © Bruce Black MD
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Right otalgia. Sqamous cell carcinoma of the parotid.
© Bruce Black MD
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Acute right parotitis, with accompanying severe right otalgia.
© Bruce Black MD
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Peri-otic otalgia. Swollen and tender tissues secondary to acute parotitis.
© Bruce Black MD
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Referred otalgia. Mandibular origins. 1: impacted wisdom teeth, 2: dental caries, 3: apical abscess, 4: mandibular
malignancy. © Bruce Black MD
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Severe right dental caries causing chronic otalgia.
© Bruce Black MD
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Otalgia. Dental root abscesses are a common cause due to V3 nerve referred pain.
© Bruce Black MD
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Pharyngeal causes of referred otalgia. 1,2,3, tonsillitis/quinsy/tonsillectomy. 4: aphthous ulcer. 5,6,7: Carcinoma of palate/tonsil/tongue, 8: palatal trauma. 9:
Eagle syndrome. © Bruce Black MD
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Acute tonsillitis, bilateral ear pain.
© Bruce Black MD
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Palatal carcinoma.
© Bruce Black MD
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Carcinoma of the left tonsil. Grinding intractable Lt otalgia.
© Bruce Black MD
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Right quinsy. Severe dysphagia right otalgia and right mandibular tenderness.
© Bruce Black MD
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Ludwig’s angina. Severe left otalgia from fulminating floor of mouth cellulitis, potentially fatal.
© Bruce Black MD
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Laryngeal causes of otalgia. 1: Acute epiglottitis. 2/3/4: Laryngeal/epiglottic/pyriform fossa carcinoma.
5: Trauma. © Bruce Black MD
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Acute epiglottitis. Severe swelling, dysphagia, inspiratory stridor, husky voice and dyspnoea.
© Bruce Black MD
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Referred otalgia. Pin in base of tongue and epiglottis. © Bruce Black MD
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Ingested nail in pyriform fossa. Sharp referred otalgia. Site clearly identified by finger pointing.
© Bruce Black MD