Cargando…

Migraine-Associated Otalgia: An Underappreciated Entity

BACKGROUND AND OBJECTIVES: Otalgia can be primary/otogenic or secondary as a referred pain from another site, which can be difficult to establish owing to various causes and the complex innervation of the ear. In our center, we observed a large group of patients with unexplained otalgia that had a h...

Descripción completa

Detalles Bibliográficos
Autores principales: Sussman, Sarah, Zimmerman, Zachary, Chishom, Taylor, Reid, Lauren, Seyyedi, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Audiological Society and Korean Otological Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996084/
https://www.ncbi.nlm.nih.gov/pubmed/35196447
http://dx.doi.org/10.7874/jao.2021.00465
_version_ 1784684423351894016
author Sussman, Sarah
Zimmerman, Zachary
Chishom, Taylor
Reid, Lauren
Seyyedi, Mohammad
author_facet Sussman, Sarah
Zimmerman, Zachary
Chishom, Taylor
Reid, Lauren
Seyyedi, Mohammad
author_sort Sussman, Sarah
collection PubMed
description BACKGROUND AND OBJECTIVES: Otalgia can be primary/otogenic or secondary as a referred pain from another site, which can be difficult to establish owing to various causes and the complex innervation of the ear. In our center, we observed a large group of patients with unexplained otalgia that had a higher prevalence of migraine. We hypothesized that migraine may cause secondary otalgia. This study then aimed to determine the prevalence of migraine-associated otalgia and evaluate the efficacy of migraine treatment. SUBJECTS AND METHODS: This 2-year retrospective study was conducted at a busy otology clinic. Patients were identified using diagnostic codes corresponding to otalgia. The prevalence of migraine-associated otalgia was determined, and the efficacy of migraine treatment was evaluated in these patients. The interventions included prophylactic and abortive migraine treatments. Statistical analysis was conducted to compare between the pre- and post-treatment symptoms. RESULTS: A total of 208 patients with otalgia were identified. Sixty-four out of ninety patients with unexplained otalgia met the criteria for migraine; of them, 30 patients had an adequate follow-up and were thus included in the evaluation of treatment efficacy. Otalgia improved in 87% of the patients who received migraine treatment. After treatment, the mean pain score and headache frequency significantly decreased from 7 to 2 and from 27 to 9 days per month, respectively (p<0.001). CONCLUSIONS: Migraine should be considered as a source of secondary otalgia, and patients should receive treatment as they often respond to migraine treatment.
format Online
Article
Text
id pubmed-8996084
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher The Korean Audiological Society and Korean Otological Society
record_format MEDLINE/PubMed
spelling pubmed-89960842022-04-21 Migraine-Associated Otalgia: An Underappreciated Entity Sussman, Sarah Zimmerman, Zachary Chishom, Taylor Reid, Lauren Seyyedi, Mohammad J Audiol Otol Original Article BACKGROUND AND OBJECTIVES: Otalgia can be primary/otogenic or secondary as a referred pain from another site, which can be difficult to establish owing to various causes and the complex innervation of the ear. In our center, we observed a large group of patients with unexplained otalgia that had a higher prevalence of migraine. We hypothesized that migraine may cause secondary otalgia. This study then aimed to determine the prevalence of migraine-associated otalgia and evaluate the efficacy of migraine treatment. SUBJECTS AND METHODS: This 2-year retrospective study was conducted at a busy otology clinic. Patients were identified using diagnostic codes corresponding to otalgia. The prevalence of migraine-associated otalgia was determined, and the efficacy of migraine treatment was evaluated in these patients. The interventions included prophylactic and abortive migraine treatments. Statistical analysis was conducted to compare between the pre- and post-treatment symptoms. RESULTS: A total of 208 patients with otalgia were identified. Sixty-four out of ninety patients with unexplained otalgia met the criteria for migraine; of them, 30 patients had an adequate follow-up and were thus included in the evaluation of treatment efficacy. Otalgia improved in 87% of the patients who received migraine treatment. After treatment, the mean pain score and headache frequency significantly decreased from 7 to 2 and from 27 to 9 days per month, respectively (p<0.001). CONCLUSIONS: Migraine should be considered as a source of secondary otalgia, and patients should receive treatment as they often respond to migraine treatment. The Korean Audiological Society and Korean Otological Society 2022-04 2022-02-24 /pmc/articles/PMC8996084/ /pubmed/35196447 http://dx.doi.org/10.7874/jao.2021.00465 Text en Copyright © 2022 The Korean Audiological Society and Korean Otological Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Sussman, Sarah
Zimmerman, Zachary
Chishom, Taylor
Reid, Lauren
Seyyedi, Mohammad
Migraine-Associated Otalgia: An Underappreciated Entity
title Migraine-Associated Otalgia: An Underappreciated Entity
title_full Migraine-Associated Otalgia: An Underappreciated Entity
title_fullStr Migraine-Associated Otalgia: An Underappreciated Entity
title_full_unstemmed Migraine-Associated Otalgia: An Underappreciated Entity
title_short Migraine-Associated Otalgia: An Underappreciated Entity
title_sort migraine-associated otalgia: an underappreciated entity
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996084/
https://www.ncbi.nlm.nih.gov/pubmed/35196447
http://dx.doi.org/10.7874/jao.2021.00465
work_keys_str_mv AT sussmansarah migraineassociatedotalgiaanunderappreciatedentity
AT zimmermanzachary migraineassociatedotalgiaanunderappreciatedentity
AT chishomtaylor migraineassociatedotalgiaanunderappreciatedentity
AT reidlauren migraineassociatedotalgiaanunderappreciatedentity
AT seyyedimohammad migraineassociatedotalgiaanunderappreciatedentity