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Pain from sound sometimes radiates to the face, scalp, and neck. This may be due to the trigeminocervical complex in the brainstem, which integrates input from and output to various regions of the head and neck, including the middle ear. Of note, the tensor tympani muscle is innervated by the trigeminal nerve.
Saliva is difficult to swallow, yet food is easy to swallow - eating, in fact, often makes the tightness go away for a time 'Lump' sensation comes and goes from day to day; Symptoms can persist for very long periods, often several months. The symptoms can be mimicked by pushing on the cartilage in the neck, just below the Adam's apple
Odynophagia is pain when swallowing. [1] [2] The pain may be felt in the mouth or throat and can occur with or without difficulty swallowing. [3] The pain may be described as an ache, burning sensation, or occasionally a stabbing pain that radiates to the back. [4] Odynophagia often results in inadvertent weight loss.
Opening pressure has been proposed as a method for preoperative and intraoperative evaluation of any obstructive process within the Eustachian tube. [3] As well, Valsalva CT scanning using advanced 64 slice or higher machines has been proposed as a way of diagnosing and localizing anatomic obstruction within the Eustachian tube.
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These symptoms tend to last for a short period of time. Long-term symptoms include muffled and distorted hearing, ear pain, ear numbness, and burning sensations in and around the ear down to the neck. Burning sensations can extend to the cheek and jaw area. [5]
Eagle syndrome (also termed stylohyoid syndrome, [1] styloid syndrome, [2] stylalgia, [3] styloid-stylohyoid syndrome, [2] or styloid–carotid artery syndrome) [4] is an uncommon condition commonly characterized but not limited to sudden, sharp nerve-like pain in the jaw bone and joint, back of the throat, and base of the tongue, triggered by swallowing, moving the jaw, or turning the neck. [1]
Carotid sinus syncope is due to pressure on the carotid sinus in the neck. [2] The underlying mechanism involves the nervous system slowing the heart rate and dilating blood vessels, resulting in low blood pressure and thus not enough blood flow to the brain. [2] Diagnosis is based on the symptoms after ruling out other possible causes. [3]