Effects of a sensory branch to the posterior external ear canal: coughing, pain, Ramsay Hunt's syndrome and Hitselberger's sign
| Autor: | Selcuk Mulazimoglu, Thomas E. Linder, R Flury, S Kapila |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Hearing aid medicine.medical_specialty medicine.medical_treatment Coughing pain Sensory system Herpes Zoster Oticus 03 medical and health sciences 0302 clinical medicine Temporal bone Humans Medicine Ramsay hunt Ear canal 030223 otorhinolaryngology Glossopharyngeal Nerve Aged business.industry General Medicine Middle Aged Facial nerve Surgery Facial Nerve medicine.anatomical_structure Cough Otorhinolaryngology Glossopharyngeal nerve Earache Neuralgia Female business Ear Canal 030217 neurology & neurosurgery Ear Auricle |
| Zdroj: | The Journal of Laryngology & Otology. 131:329-333 |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | Background:A distinct nerve innervating the external auditory canal can often be identified in close relation to the facial nerve when gradually thinning the posterior canal wall. This nerve has been attributed to coughing during cerumen removal, neuralgic pain, Hitselberger's sign and vesicular eruptions described in Ramsay Hunt's syndrome. This study aimed to demonstrate the origin and clinical impact of this nerve.Methods and results:In patients with intractable otalgia or severe coughing whilst inserting a hearing aid, who responded temporarily to local anaesthesia, the symptoms could be resolved by sectioning a sensory branch to the posterior canal. In a temporal bone specimen, it was revealed that this nerve is predominantly a continuation of Arnold's nerve, also receiving fibres from the glossopharyngeal nerve and facial nerve. Histologically, the communicating branch from the facial nerve was confirmed.Conclusion:Surgeons should be aware of the posterior auricular sensory branch and its clinical implications. |
| Databáze: | OpenAIRE |
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