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Mastoiditis is the result of an infection that extends to the air cells of the skull behind the ear. Specifically, it is an inflammation of the mucosal lining of the mastoid antrum and mastoid air cell system inside [1] the mastoid process. The mastoid process is the portion of the temporal bone of the skull that is behind
Secondary ear pain is a type of referred pain, meaning that the source of the pain differs from the location where the pain is felt. Primary ear pain is more common in children, whereas secondary (referred) pain is more common in adults. [13] Primary ear pain is most commonly caused by infection or injury to one of the parts of the ear. [3]
The posterior auricular nerve arises from the facial nerve (CN VII). [1] It is the first branch outside of the skull. [2] This origin is close to the stylomastoid foramen.It runs upward in front of the mastoid process.
The great auricular nerve is a large trunk that ascends almost vertically over the sternocleidomastoid. [2] It winds around the posterior border of the sternocleidomastoid muscle, then perforates the deep fascia before ascending alongside the external jugular vein upon that sternocleidomastoid muscle beneath the platysma muscle to the parotid gland. [1]
The nerve reaches the surface by passing through the tympanomastoid fissure between the mastoid process and the tympanic part of the temporal bone, and divides into two branches: one joins the posterior auricular nerve. the other is distributed to the skin of the back of the ear (auricle) and to the posterior part of the ear canal.
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Due to the proximity of the ear to the temporomandibular joint, TMJ pain can often be confused with ear pain. [23] The pain may be referred in around half of all patients and experienced as otalgia (earache). [50] Conversely, TMD is an important possible cause of secondary otalgia.
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