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We present a case of an Army veteran with chronic right otalgia and dizziness following blast-related mild traumatic brain injury who was initially diagnosed with vestibular migraine. Despite significant improvement in headache symptoms with migraine-directed preventive and abortive treatments, otalgia persisted. Auriculotemporal nerve block produced complete but short-lived pain relief, confirming ATN. Cryoneurolysis of the auriculotemporal nerve resulted in complete resolution of otalgia for 2\u20133\u2009months after first and second treatments. However, transient worsening of tinnitus, ear pressure and dizziness also occurred but eventually returned to baseline. This case highlights cryoneurolysis as a potential therapeutic option for refractory ATN-related otalgia.<\/jats:p>","DOI":"10.1136\/bcr-2025-271980","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T11:05:29Z","timestamp":1781089529000},"page":"e271980","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cryoneurolysis of auriculotemporal nerve for treatment of otalgia"],"prefix":"10.1136","volume":"19","author":[{"given":"Nikit","family":"Patel","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation, Jefferson Moss-Magee Rehabilitation Hospital, Elkins Park, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shireen","family":"Rabiei","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Jefferson Moss-Magee Rehabilitation Hospital, Elkins Park, Pennsylvania, 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