{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:49:07Z","timestamp":1792176547219,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,4,1]],"date-time":"2008-04-01T00:00:00Z","timestamp":1207008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Present experience in diagnosis and treatment for referred otalgia secondary to cervical spine degenerative disease (CSDD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective study of 123 patients with ear pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>All patients had a normal otologic examination and diagnosed with unspecified otalgia. The causes for referred otalgia were categorized into Group I: otalgia from non\u2013cervical spine disease (n = 72), and Group II: cervical spine disease\u2013referred otalgia (n = 51). Pain relief following cervical spine physical therapy (CSPT) was assessed.<\/jats:p><jats:p><jats:bold>RESULTS: The most common cause for referred otalgia in Group I was Temporomandibular joint (TMJ) dysfunction (46%); most common cervical spine finding in Group II was CSDD (88%). CSPT in those documented patients all reported subjective pain relief.<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As the population in America ages, CSDD in the elderly will begin to emerge as a major etiologic source for referred otalgia. With a targeted medical history and physical examination one can use directed studies to diagnose CSDD\u2010referred otalgia, and this pain can be alleviated with CSPT.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2007.12.043","type":"journal-article","created":{"date-parts":[[2008,3,25]],"date-time":"2008-03-25T00:19:43Z","timestamp":1206404383000},"page":"479-485","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Cervical spine causes for referred otalgia"],"prefix":"10.1002","volume":"138","author":[{"given":"James J.","family":"Jaber","sequence":"first","affiliation":[{"name":"Loyola University Medical Center Department of Otolaryngology\u2010Head and Neck Surgery Maywood IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Leonetti","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center Department of Otolaryngology\u2010Head and Neck Surgery Maywood 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