An unusual cause of otalgia in a child – A case report

Otalgia is a common complaint of pediatric patients in Otorhinolaryngological practice. Rhinogenic contact point otalgia (RCPO) is a newer term in medicine. This is due to intranasal mucosal contact points which formed in nasal septal deviation, septal spur, concha bullosa, etc. causing referred Otalgia without any signs of inflammation. It is diagnosed after exclusion of other causes for ear pain after different investigation tools. Here, we reported a case 12-year boy presented with intractable otalgia induced by nasal septal spur. Otoendoscopy revealed normal tympanic membrane whereas diagnostic nasal endoscopy showed a sharp spur touching the left inferior turbinate in left nostril. Medical treatment for migraine failed to relieve the symptoms. After surgical removal of septal spur, patient experienced a significant relief of symptoms.