The importance of the cervical spine in routine ENT practice is discus
sed, using the example of otalgia due to disorders of the cervical ver
tebra. Evaluation and follow-ups of 13,000 patients showed that 6% had
diseases caused by the cervical spine. Frequency, pathophysiology and
treatment results of cervicogenic otalgia are presented. The principl
es of adequate functional diagnostics and therapy of cervical spine di
sorders are explained.