{Reference Type}: Case Reports
{Title}: Case Report: Inflamed Jacobson nerve: an uncommon cause of persisting otalgia after an acute otitis media.
{Author}: Camurdan A;Kilgue A;Scholtz LU;Todt I;
{Journal}: Front Surg
{Volume}: 11
{Issue}: 0
{Year}: 2024
{Factor}: 2.568
{DOI}: 10.3389/fsurg.2024.1341118
{Abstract}: <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.