Endoscopic Management of Contact Point Headache in Patients Resistant to Medical Treatment

被引：0
作者：
Mohammad Sadeghi
Babak Saedi
Yasser Ghaderi
机构：
[1] Tehran University of Medical Sciences,Otolaryngology Department, Otolaryngology Research Center, Imam Khomeini Medical Center
[2] Tehran University of Medical Sciences,undefined
来源：
Indian Journal of Otolaryngology and Head & Neck Surgery | 2013年 / 65卷
关键词：
Sinus surgery; Rhinogenic headache; Headache; Facial pain; Endoscopic surgery; Medical treatment; Contact point headache; Nasal obstruction;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The existence and the best treatment for contact point headache is a controversial issue. Therefore, this study tried to evaluate the response of the patients with a rhinogenic headache who were resistant to medical treatment to endoscopic sinus surgery. Thirty patients who suffered from a unilateral headache or facial ache for at least 1 year and resistant to medical treatment were evaluated in this research. The existence of the contact point was confirmed in CT scan and in nasal endoscopy. Moreover, a positive Lidocaine test was another important factor for selecting patients. Endoscopic surgery was the common method of surgery in patients. After 1 year, the headache and nasal obstruction were assessed according to Visual Analogue Scale (VAS) and compared to preoperative VAS. In 30 patients who entered this research, the average headache and nasal obstruction score according to VAS was 7.4 ± 1.4 and 7.9 ± 2.5, respectively. These values consequently decreased to 4.8 ± 2.3 and 3.73 ± 1.7 1 year after surgery, respectively. The overall response rate was 93.3 % and no major complications were seen in this series. If there is strong clinical suspicion and meticulous selection criteria, provided that other causes of headache have been ruled out, endoscopic management of the rhinogenic headache can be effective.
引用
收藏
页码：415 / 420
页数：5
相关论文
共 50 条
  • [1] Tosun F(2003)Nasal surgery for contact point headaches Headache 40 237-240
  • [2] Gerek M(1998)Functional endoscopic sinus surgical outcomes for contact point headaches Laryngoscope 108 696-702
  • [3] Ozkaptan Y(2008)Treatment of sinus headache as migraine: the diagnostic utility of triptans Laryngoscope 118 2235-2239
  • [4] Parsons D(2005)Sinus headache: a neurology, otolaryngology, allergy, and primary care consensus on diagnosis and treatment Mayo Clin Proc 80 908-916
  • [5] Batra P(2004)Headaches due to nasal and paranasal sinus disease Neurol Clin 22 1-19
  • [6] Kari E(1994)Rhinologic headaches Otolaryngol Head Neck Surg 111 211-218
  • [7] DelGaudio J(1993)Headache and facial pain-the role of the paranasal sinuses: a literature review Cranio 11 36-47
  • [8] Cady R(2003)Endonasal surgery for contact point headaches: a 10-year longitudinal study Laryngoscope 113 2151-2156
  • [9] Dodick D(2004)Prevalence of migraine in patients with a history of self-reported or physician-diagnosed “sinus” headache Arch Intern Med 164 1769-1772
  • [10] Levine H(2001)Prevalence of nasal mucosal contact points in patients with facial pain compared with patients without facial pain J Laryngol Otol 115 629-632
12345