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KMID : 0384320130340030221
Korean Journal of Family Medicine
2013 Volume.34 No. 3 p.221 ~ p.223
Referred Otalgia Induced by a Large Tonsillolith
Kim Kyung-Soo

Abstract
Herein, we report an unusual case of large tonsillolith presented with acute otalgia. Since the tonsils and tonsillar fossa are supplied by the glossopharyngeal nerve, any irritation or pain can be referred to the ear along the tympanic branch of the glossopharyngeal (Jacobson¡¯¡¯s) nerve. Also, it is worth re-emphasizing that normal otoscopy must be followed by inspection of the nasal cavities, oral cavity, and oropharynx, with particular note given to the floor of mouth, teeth, tongue, and tonsils because the identification of a causative etiology is necessary to successfully treat referred otalgia.
KEYWORD
Tonsillolith, Referred Otalgia, Glossopharyngeal Nerve
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