Document Detail


12 minute consultation: an evidence-based management of referred otalgia.
MedLine Citation:
PMID:  21108752     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Otalgia is a common presenting symptom to the ENT clinic. The aetiology of otalgia can be divided into otological and referred depending on its underlying pathology. This article aims to provide a systematic and evidence-based method of managing a patient with referred otalgia.
METHODS: The data in this article are based on a literature review performed on MEDLINE and EMBASE in January 2010. The keywords used included otalgia in combination with diagnosis, management, investigations and treatment. Articles in the English language were selected and reviewed. Suitable references from these articles were also reviewed.
RESULTS: The majority of published literature on the management of diseases causing referred otalgia is level III/IV evidence.
CONCLUSIONS: An understanding of the different causes of referred otalgia is essential as it can be multifactorial in origin. The main concern in a patient with referred otalgia is overlooking a malignant lesion in the upper aerodigestive tract or base of skull/infratemporal fossae. A thorough history followed by a systematic examination usually helps to arrive at a diagnosis. Treatment should be directed towards the underlying pathology.
Authors:
V Visvanathan; G Kelly
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery     Volume:  35     ISSN:  1749-4486     ISO Abbreviation:  Clin Otolaryngol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247023     Medline TA:  Clin Otolaryngol     Country:  England    
Other Details:
Languages:  eng     Pagination:  409-14     Citation Subset:  IM    
Copyright Information:
© 2010 Blackwell Publishing Ltd.
Affiliation:
Department of ENT/Head and Neck Surgery, Southern General Hospital, Glasgow, UK. vikranth@hotmail.co.uk
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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