Clinical and 22-item Sino-Nasal Outcome Test symptom patterns in primary headache disorder patients presenting to otolaryngologists with "sinus" headaches, pain or pressure

International Forum of Allergy & Rhinology
Devyani LalRohit Divekar

Abstract

The objective of this work was to study patient and 22-item Sino-Nasal Outcome Test (SNOT-22) characteristics in primary headache disorders (PHDs). Retrospective chart review of "sinus" headache/pressure/pain patients was conducted. Patients that had rhinosinusitis excluded (negative endoscopy/computed tomography [CT]), and neurologist-confirmed PHD were studied. Patterns in symptom and SNOT-22 items were analyzed by network visualization and cluster analysis. Forty-six patients met study criteria. Forty-three (93.5%) reported "need to blow nose" and 40 (86.9%) reported postnasal drainage. Sneezing was reported by 37 (80.4%) patients, "blockage/congestion of nose" by 33 (71.8%), and "runny nose by 32 (69.6%) patients. The median SNOT-22 score was 54 (interquartile range [IQR], 40 to 63). Past history included neurological diagnoses (60%), rhinologic disease (39%; chronic rhinosinusitis [CRS], rhinitis, recurrent acute sinusitis), asthma (28%), and allergen-sensitivity (26%). Previous sinonasal surgery had been performed in 41%. Network layout and cluster analysis identified 2 patient clusters and 2 symptom clusters. Two-thirds (31) of patients formed a tight cluster (cluster 1) linking to a symptom cluster of psychosocial items...Continue Reading

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Citations

Nov 18, 2015·International Forum of Allergy & Rhinology·Devyani LalRohit Divekar
Jul 29, 2015·The Journal of Allergy and Clinical Immunology. in Practice·Rohit DivekarErin O'Brien
May 12, 2015·International Forum of Allergy & Rhinology·Joseph Jacobs
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Feb 14, 2018·International Forum of Allergy & Rhinology·Devyani LalRohit D Divekar
Oct 4, 2018·International Forum of Allergy & Rhinology·Dawei WuBenjamin S Bleier
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Sep 30, 2021·International Forum of Allergy & Rhinology·Matthew LiuPhilip G Chen

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