Otalgia Caused by a Trigger Point in the Sternocleidomastoid Muscle: A case report

Abstract

Myofascial pain syndrome is defined as the sensory, motor and autonomic symptoms caused by the myofascial trigger points. The sternocleidomastoid muscle is a complex muscle that frequently contains multiple trigger points. These trigger points cause symptoms that are easily misdiagnosed as other conditions. Earache of unexplained origin is likely to be caused by trigger points in the clavicular division of the sternocleidomastiod muscle. The authors report a case of earache caused by a trigger point in the sternocleidomastoid muscle. A 34 year-old woman had earache without any history of trauma or infection. The patient did not have any abnormal finding by otolaryngologic testing, except for an earache, which had not subsided. On physical examination, trigger points in the clavicular division of the sternocleidomastiod muscle were found, and the earache was successfully treated by trigger point injections. (Korean J Anesthesiol 2004; 46: 497∼500) ꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏꠏ

Effects of Natural Products on Acute Orofacial Pain Control Enhanced by Oral Disease

“…. 34세 여자 환자의 목빗근 쇄골두 의 통증 유발 지점으로 인하여 이통을 호소하여 성상신경 절차단술을 시행한 증례가 보고되었으며(Seo et al, 2004), 군에 비하여 cinnamaldehyde 투여군에서 AQP5의 발현량 이 증가하였던 결과와 일치하였다(Choi et al, 2020). 또한 cinnamaldehyde를 안면부의 농도는 C5, C25, C50, TMJ 부위 농도는 C5, C12.5, C25로 각각 투여하였을 때 통계적으로 유의하게 통증이 농도 의존적으로 감소되는 결과를 보였다.…”