著者报导1例罕见的耳痛。患者为12岁女童。1975年曾因右耳深部阵发性针刺般剧痛两年而住院。自诉初时每次发作持续1～2分钟,嗣后延长为5～10分钟。入院时,几乎每日发作。体检(包括X线检查),在耳、鼻、鼻窦、咽门、咽、喉、唾腺、牙、颌、颞-下颌关节、颈及颅后凹均未发现器质性病变,亦无放射痛。1976年再度就医,诉不仅耳痛加重,而且发作间隔期缩短至每日发作2、3次。1977年求治,用止痛剂等药物治疗及2％利多卡因局部浸润皮神经周围无效。为此,给予手术治疗。结果,在切除鼓索神经及切断中间神经之后,使耳痛分别获得暂时性及持久性缓解。由此建立了中间神经性耳痛的诊断。著者在讨论中指出,中耳之感觉神经供应颇复杂。据Last(1973)称,中耳的感觉供应主要是来自舌咽神经和一些发自面神经的纤维,而不是接受来自 Author reported a rare case of earache. The patient is a 12-year-old girl. In 1975, he had been hospitalized for two years due to deep acupuncture at the right ear. Prosecution at the beginning of each episode lasts 1-2 minutes, then extended to 5 to 10 minutes. Admission, almost daily attack. Physical examination (including X-ray examination) showed no organic lesions in the ears, nasal sinus, pharynx, pharynx, larynx, salivary glands, teeth, jaws, temporomandibular joint, neck and posterior cranial fossa pain. Re-seeking medical treatment in 1976, not only aggravating the complaint, but also reduced the interval to seizures 2,3 times a day attack. Seeking treatment in 1977, with analgesics and other drug treatment and 2% lidocaine local infiltration around the cutaneous nerve is invalid. To this end, given surgical treatment. As a result, temporary and permanent relief of earache were obtained after excision of the chordoma nerves and interruption of the interneurons. This established the diagnosis of intermediate neurogenic earache. The authors pointed out in the discussion that the sensory nerve supply to the middle ear is complex. According to Last (1973), the sensory supply of the middle ear comes mainly from the glossopharyngeal nerve and from the facial nerve fibers rather than from