Non-sinusitis-related rhinogenous headache: a ten-year experience

American Journal of Otolaryngology
Hsueh-Hsin HuangShiang-Fu Huang

Abstract

This study aimed to investigate the role of anatomical abnormalities in non-sinusitis-related rhinogenous headache and to evaluate response to surgery. Between January 1995 and December 2004, 71 patients were diagnosed with non-sinusitis-related rhinogenous headache preoperatively and treated with endoscopic sinus surgery and/or septoplasty if other underlying diseases could be ruled out and if long-term medical treatment failed. Data from this group were analyzed retrospectively. Multiple sinonasal anomalies were noted by endoscopy and sinus computed tomographic scans in the 66 patients in the study. These included nasal septum deviation in 46 (69.7%), concha bullosum in 33 (48.5%), and Haller cell in 11 (16.7%). Thirty of the patients with nasal septum deviation needed surgical intervention. Fifty-four (81.8%) of the 66 patients in the study showed significant improvement after surgery and did not require further medical therapy. Our experience demonstrates that non-sinusitis-related rhinogenous headache can be significantly minimized with surgical management, as long as a precise identification of the etiologic anatomical factor can be made.

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Citations

Jun 17, 2014·Journal of the American College of Radiology : JACR·Annette C DouglasGregory J Zipfel
Mar 5, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Therese R KarlssonK W Ah-See
Apr 1, 2014·Otolaryngologic Clinics of North America·Aliye Bricker, Todd Stultz
Apr 1, 2014·Otolaryngologic Clinics of North America·Raza PashaMohammad Nadir Ijaz
Aug 3, 2012·Auris, Nasus, Larynx·Navid Ahmady Roozbahany, Semiramis Nasri
Jul 4, 2017·The Annals of Otology, Rhinology, and Laryngology·Nam-Kyung YeoYong Jin Song
Mar 1, 2019·The Journal of Craniofacial Surgery·Giacomo SolliniGiorgio Peretti
Nov 30, 2018·Plastic and Reconstructive Surgery·Rebecca L FarmerAhmed M Afifi
Jul 14, 2019·The Journal of Craniofacial Surgery·Giacomo SolliniGiorgio Peretti
Jan 14, 2021·Brain Sciences·Marcin StraburzyńskiPaolo Martelletti
Mar 8, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Antonino ManiaciIgnazio La Mantia
Apr 17, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Antonino ManiaciIgnazio La Mantia
Aug 18, 2021·Laryngoscope Investigative Otolaryngology·Ahmed ShaikhShanmugam Ganesan

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