Patients experience a paroxysmal pain sensation in the right ear for the following general reasons: 1. The presence of inflammatory and infectious disease factors, common causes include acute otitis externa, acute otitis media, etc.; 2. Excessive force when digging the ear, leading to breakage of the skin of the external ear canal and further congestion and swelling; 3. The presence of boils or infected cysts in the external ear canal, which may lead to the occurrence of paroxysmal pain sensation in the ear; 4, Acute inflammation of the middle ear due to acute inflammation of the respiratory tract or infectious factors can also cause paroxysmal ear pain; 5. The appearance of peripheral neuralgia in the ear, which manifests as paroxysmal pinprick-like sensations, is often related to mental or emotional overstimulation or anxiety, or recent lack of sleep, repeated fatigue, or staying up late, and may further lead to viral herpes conditions in the ear.