ENT Manifestations of Migraine 8 - Ear Fullness and Atypical Facial Pain

Many patients search with specialists looking for a solution to chronic symptoms such as ear fullness and atypical facial pain. Some come with persistent symptoms after tooth removal fail to resolve symptoms. This patient has no headache but had chronic symptoms that responded well to low dose nortriptyline. He is an example of how useful low dose nortriptyline can be in the therapeutic armamentarium of the otolaryngologist. He did not have eustachian tube or sinus problems that would have most directly answered his temporally related symptoms, and his attempts to address symptoms with dentists and allergists were not fruitful. This patient may have symptoms attributable to neural hypersensitivity suggestive of migraine but he has no headache, headache history and no exacerbation of symptoms with common migraine triggers. Nonetheless we were able to provide some relief because of our awareness of atypical presentations in ENT like migraine.

[jacquelinelarsen]

I have had that for 10 years. I was diagnosed with geniculate ganglion or atypical trigeminal neuralgia. My life is over. I have constant pain plus tinnitus in that one ear. My days are full of taking pills😐

[ChrisSupalla]

Seems to be some sort of neurlagia. What causes the ear fullness?

[prettymessedup]

I have this in both ears, and left side of face which is a constant burning pain. It's Hell, no one can help me thus far after a year.

[kalebclouse]

Dr. Teixido, I’d love to speak with you

[mrhyperbolic]

I have tried 10 mg of nortriptyline and even at that dose it worked well, BUT, after 3 weeks I developed a very bad irregular heart beat
and the Doctor told me this type of medicine was not for me. I must go to a Neurologist now but want to learn what else might
help B4 going into the office. Any ideas?

[ajayranya]

I have pain on both side of my face and chick my ear no make wax and hurting I get horrible headache