A sudden stabbing pain in the ear, this is mainly considered as a possible cause of the following diseases: 1. Otic neuralgia. In patients with otalgia, no obvious abnormalities can be seen in the ear canal or tympanic membrane examination in general, and no painful sensation in the ear canal or ear canal occurs when the ear is pulled. There is no obvious pattern of pain in such patients, which may be related to poor rest, fire, staying up late, and bad emotional triggers that may be induced by the patient. 2. Acute otitis externa, acute tympanitis, etc. When the auricle is pulled during the examination, the patient will feel obvious pain, and the examination reveals obvious congestion, redness and swelling of the ear canal, congestion of the tympanic membrane, and other clinical manifestations. 3. Herpes zoster of the ear. Herpes zoster-like changes are usually seen in the auricle and other parts of the ear, and patients often experience sudden throbbing pain in the auricle and around the ear, mainly caused by viral invasion of the nerve. 4. Other diseases. In conclusion, for patients with sudden tingling in the ear, it is recommended to go to the ENT department for a systematic examination.