Edward Ryan Roxas Talatala, MD 🇵🇭

Baylor otolaryngology PGY-1 | Rugby midfielder | @MeharryMedical & @LoyolaMarymount alum

[Lea Alhilali, MD @teachplaygrub]

If you are only looking at the ears in patients w/otalgia, you need LISTEN UP!

In 50% of cases, the source of pain isn’t the ear!

So-called “referred otalgia” comes from other nerves in the head & neck

Do YOU know which?

I’ll show you how to remember them—just hear me out!

➡️Referred otalgia is a “sensory error.”
🔸Multiple nerves converge in the head & neck and CNS can’t determine which one the pain comes from
🔸Same mechanism why a patient’s left arm hurts during a heart attack!

➡️Ear is innervated by the trigeminal, facial, glossopharyngeal, & vagus.

Pathology affecting these nerves in other places can cause otalgia. Here’s where to look:

▶️Trigeminal V2
🔸Causes otalgia via the auriculotemporal branch of V3
🔸Nasal cavity pathology can cause V2 referred otalgia
🔸Remember: V2 is where you go aaah-chooo

▶️Trigeminal V3
🔸Can cause otalgia via the auriculotemporal branch
🔸Oral cavity pathology and jaw can cause V3 otalgia
🔸Remember: there are 3 types of taste in your mouth (salty, sweet, bitter) = V3

➡️Facial VII
🔸Can cause otalgia via its posterior auricular nerve
🔸Sphenoid & soft palate pathology cause VII otalgia
🔸Remember: Seven & Sphenoid & Soft all start with S

➡️Glossopharyngeal IX
🔸Otalgia via nerve of Jacobson & tympanic plexus
🔸Pathology in the pharynx can cause IX otalgia
🔸Remember: glossoPHARYNGEAL causes otalgia from the PHARYNX

➡️Vagus X
🔸Otalgia via the tympanic nerve & auricular nerve
🔸Pathology in the larynx can cause X otalgia
🔸Remember: the shape of X looks like the larynx in the coronal plane: wide supraglottic larynx, narrow larynx, wide again in the subglottic larynx

Remember, when it comes to pain where you LISTEN, you have to know where to LOOK!

[VUMC Otolaryngology–Head and Neck Surgery @VanderbiltENT]

Researchers concluded #iSGS cases have fewer types of immune cells compared to healthy people & healthy and diseased individuals both have a limited number of TCRs that don't match between people. https://t.co/uKLaWSX59o @TalatalaHolla @ye_wenda @CWanjallaMDPhD @GelbardMd

[Tricia Pendergrast, MD @trpender]

all otolaryngologists should sign their emails “trach it easy”

[Edward Ryan Roxas Talatala, MD 🇵🇭 @TalatalaHolla]

@taylordiannab @MassEyeAndEar @HarvardOtoRes @BIDharvardOHNS @SNMA @headmirror_com @futureENTres @_backtableENT

[Taylor @taylordiannab]

Hello everyone!! Your SNMA ENT SIG team is excited to start the year with our annual SNMA/ Harvard program on October 28th, 2023! Please mark your calendars and register!! You do not want to miss it!

#SNMA #ENT

[Cleveland Clinic MD @CleClinicMD]

A new study indicates high patient satisfaction with the Maddern Procedure, but the technique can be technically challenging for surgeons: https://t.co/eTYUmybbEA

[Cleveland Clinic Otolaryngology-Head/Neck Surgery @CleClinicHNI]

.@TierneyMd previews the data in a landmark, five-year study on the treatment of idiopathic subglottic stenosis. Read the full article: https://t.co/Bmo8EDN5KN #laryngology

[VUMC Otolaryngology–Head and Neck Surgery @VanderbiltENT]

*The results of the study show that estrogen & progesterone receptors have distinct cellular locations providing a basis for further investigation into how hormones can cause & affect this disease. #ISGS
@TalatalaHolla @ye_wenda @ZandyHillel @GelbardMd
https://t.co/ccMOLI3ZyF

[Edward Ryan Roxas Talatala, MD 🇵🇭 @TalatalaHolla]

Tulì (circumcision) is a rite of passage for young boys to enter adulthood in the #Philippines. Glad I was able to complete a Tulì surgical & medical mission with my family before my last year of med school !
18 circumcisions completed
150 patients cared for
#tuli #medtwitter

[Edward Ryan Roxas Talatala, MD 🇵🇭 @TalatalaHolla]

@EbenRosenthal @Triological @hopkins_ent #otomatch #ENT #laryngology

[Edward Ryan Roxas Talatala, MD 🇵🇭 @TalatalaHolla]

iSGS is an unexplained upper airway scarring that almost exclusively affects females, leading us to believe that female sex hormones play a role in the pathogenesis. The cells that constitute iSGS scar reveal differential gene expression of estrogen & progesterone receptors.

[VUMC Otolaryngology–Head and Neck Surgery @VanderbiltENT]

The results of the study show that estrogen & progesterone receptors have distinct cellular locations providing a basis for further investigation into how hormones can cause & affect this disease. #ISGS
@TalatalaHolla @ye_wenda @ZandyHillel @GelbardMd
https://t.co/ccMOLI3ZyF

[Edward Ryan Roxas Talatala, MD 🇵🇭 @TalatalaHolla]

With immense gratitude for @VanderbiltENT & our @hopkins_ent collaborators, I’m ecstatic to get a first author publication ! What a perfect summation of my basic science research year with our lab’s hard work coming to fruition. @GelbardMd #OTOMatch

https://t.co/AXkyyu3Oqy

[Edward Ryan Roxas Talatala, MD 🇵🇭 @TalatalaHolla]

1st place poster for the @Triological Society Laryngology & Bronchoesophagology category at the Combined Otolaryngology Spring Meeting @__COSM !!
Many thanks to my mentor, Dr. Gelbard, & to @VanderbiltENT
#OTOmatch #MedTwitter

[Shi Yang, MD @shiyangmd]

Couldn’t agree more! It has been a wonderful year with these @VanderbiltENT research students

[Michael Topf MD, MSCI @TopfHNS]

Fantastic medical student research fellow presentations this morning from @Alexis_B_Miller @NickiDeSisto and Edward Talatala - they have been a wonderful addition to @VanderbiltENT @langermology @EbenRosenthal @haynes_ear @shiyangmd #OTOmatch

[ScratchpadMD @scratchpadMD]

Toxic megacolon implies the existence of an Oops… I did it again megacolon and a …Baby one more time megacolon.

[Judy Minkoff, PhD @JudyMinkoff]

This is the best #immunology meme ever created. Fight me.