舌咽神经痛临床少见,本人从事耳鼻喉科工作20多年,仅遇1例,现报道如下。 患者男性,43岁,因间歇性右侧咽痛3个多月就诊。咽痛呈电击状或刀割样,向同侧耳部及颞部、头部放射,持续2～10余分钟。在疼痛期间伴心慌、心悸,右侧头面部发热和出汗。疼痛每天发作1～10次不等,但以夜间发作较频繁和剧烈,似与吞咽有一定关系。病发后当地医院曾行双侧扁桃体摘除术。但术后咽痛如前。既往无类似咽痛史,无头颈部外伤史。无烟酒嗜好。检查见营养发育正常,两下鼻甲红润,鼻道干净,通气良好。鼻充血,咽光滑,无新生物。口咽部形态正常,咽后壁粘膜慢性充血,两侧扁桃体残留,右侧有半粒花生仁大,局部充血无溃疡。颈未扪及肿物,甲状软骨及舌骨大小及形态正常,局部无压痛。扁桃腺 Glossopharyngeal neuralgia is clinically rare, I work in otolaryngology more than 20 years, only one case, are reported below. Male patient, 43 years old, due to intermittent right side sore throat more than 3 months treatment. Sore throat electric shock or knife-like, to the ipsilateral ear and temporal, head radiation, sustained 2 to 10 minutes. During the pain with palpitation, palpitations, right head and face fever and sweating. Pain episodes 1 to 10 times a day, but the more frequent and intense attack at night, seems to have a certain relationship with swallowing. After the onset of a local hospital had bilateral tonsillectomy. However, postoperative sore throat as before. No history of similar sore throat, head and neck without a history of trauma. Non-smoking alcohol hobby. Check to see the normal development of nutrition, two turbinate rhinitis, nasal clean, well ventilated. Nasal congestion, pharyngeal smooth, no new creatures. Oropharyngeal morphology is normal, posterior pharyngeal mucosal chronic congestion, both sides of the tonsils remain on the right side of a large peanut kernel, local congestion without ulcer. Neck palpable mass, thyroid cartilage and hyoid bone size and shape normal, local no tenderness. Tonsils