%0 Case Reports
%T Case Report: Inflamed Jacobson nerve: an uncommon cause of persisting otalgia after an acute otitis media.
%A Camurdan A
%A Kilgue A
%A Scholtz LU
%A Todt I
%J Front Surg
%V 11
%N 0
%D 2024
%M 38496212
%F 2.568
%R 10.3389/fsurg.2024.1341118
%X UNASSIGNED: Otalgia can have multiple causes. Mostly otalgia is caused by a tubal dysfunction or an acute middle ear infection. This case describes a patient with an inflammation of the Jacobson's nerve causing severe persistent otalgia after an acute otitis media. The patients complaints completely disappeared after neurolysis of the Jacobson's nerve.
UNASSIGNED: We describe a case of a 21-year-old female caucasian patient with acute otitis media and persistent intractable otalgia. Infection was first successfully controlled by antibiotics. But the patient reported a persistent otalgia not responding to analgetics. We performed a CT scan, which exhibited a regular aerated middle ear finding, and a diagnostic tympanoscopy to examine the middle ear structures particularly the tympanic Jacobson's nerve as a possible cause for persistent pain. The following neurolysis of Jacobson's nerve under general anaesthesia led to a resolution of otalgia.
UNASSIGNED: An inflamed tympanic Jacobson's nerve is a rare observation and a persisting otalgia after an acute otitis media not responding to conservative treatment can be treated by a neurolysis.