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KMID : 0361020220650010062
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 1 p.62 ~ p.65
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Glossopharyngeal Neuralgia and Somatic Tinnitus Caused by a Small Tonsillolith
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Cho Han-Kyu
Oh Ja-Young
Koo Ja-Won
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Abstract
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A 66 years old male presented with severe right-sided otalgia and throat pain, which persistedmore than a year. He also complained of bilateral tinnitus. Tinnitus was continuous and highpitched.
Severe pain usually followed swallowing food. Pressing his right tonsil aggravatedsuch symptoms. Pure tone audiogram showed both high frequencies hearing loss. Neck CTimage revealed a small tonsillolith in his right tonsil. Gabapentin and non-steroidal anti-inflammatorydrugs reduced the intensity of pain, but could not eradicate the pain. Finally, weperformed radiofrequency tonsil ablation to eliminate right side tonsillolith. After ablation,pain immediately subsided and his tinnitus also disappeared. Tiny impacted tonsillolith mayinduce glossopharyngeal neuralgia and somatic tinnitus.
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KEYWORD
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Glossopharyngeal neuralgia, Otalgia, Tinnitus, Tonsil
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