Introduction

The head and neck is a region noted for a multiplicity of ill-defined pain syndromes. Any pain in head and neck region is very disabling and

constitutes for much loss of working hours. It is often very difficult to differentiate organic from functional symptoms in patient having pain in the head and neck region due to varied obscure causes. In all such cases it is essential that the primary physician evaluates every case with great

attention. But when these cases do not improve with primary level health physician then they present to the Otorhinolaryngologist. Here the role of surgeon is crucial in order to provide relief to the patient. Pain in the neck, localized to one side of the throat, also radiating towards the mastoid area on the same side, can be a diagnostic challenge. The cause of chronic throat pain with foreign body sensation which radiates towards the ear associated with swallowing may be due to elongated styloid process.

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Dr Anand Sharma

Post Graduate Resident 3rd Year, Index Medical College Hospital & Research Centre, Indore, MP, India