Earache and neuralgia may be primary neuralgia, the exact cause of which is not clear. The main treatment is symptomatic pain relief, and commonly used drugs include carbamazepine, phenytoin sodium and oxcarbazepine. If medication is not effective and the pain is severe, radiofrequency ablation therapy and local nerve closure therapy can be considered. If there is otitis media can also appear, along with discharge from the ear canal, anti-inflammatory treatment is the main concern, and if necessary, the patient should be seen in the ENT department. If there are intracranial organic lesions, such as pontocerebellar horn and auditory neuroma, the symptoms are persistent and the main treatment is to actively treat the original disease.