Question: I have a lump a at the back of my head – base of skull 2 inches behind my right ear. History of sinus/ allergy issues. Should I start my primary care doctor or an ENT?
Answer: While we would always be happy to see you here at the NY Sinus Center for any problem related to the ear nose throat or head and neck,(even if you’ve not been referred) it generally makes sense to see your primary care doctor first, if possible, for most issues. He or she can take care of most problems directly- or refer you to the appropriate specialty physician should that be necessary. For instance, a lump behind your ear like that may be related to a problem with your ear, but can also be from a skin problem with your scalp, an auto-immune problem, such as sarcoidosis, or even arthritis of the neck. While your ENT doctor can make this determination as well, your family physician should help guide you through what can be a difficult maze of health care options and help co-ordinate your care.
I hope this helps clear things up.
Robert Pincus MD
Co-director NY Sinus Center
Frequently Asked Questions
It is generally recommended to see your primary care doctor first for a lump behind the ear. They can evaluate the issue, manage many problems directly, or refer you to an ENT or another specialist if needed. This approach helps coordinate your care effectively.
A lump in that area could be related to an ear problem, a scalp skin condition, an autoimmune disease such as sarcoidosis, or even arthritis of the neck. Proper medical evaluation is essential to determine the exact cause.
Yes, an ENT specialist has the expertise to evaluate lumps around the ear and head and neck region. However, initial evaluation by a primary care doctor can help guide appropriate referrals and comprehensive care.
A primary care doctor can offer an initial assessment and coordinate your care by referring you to the right specialist if needed. This helps navigate the complex healthcare system efficiently and ensures you receive appropriate treatment.
While allergies and sinus issues primarily affect the nose and sinuses, they usually do not cause lumps behind the ear. However, related inflammation or infections could potentially contribute, so medical evaluation is necessary to rule out causes.
