Clinical Outcome Following Endoscopic Septoturbinal Surgeries for Rhinogenic Contact Point Headache: A Retrospective Analysis

Somu Lakshmanan1, Urvashi Singh1, Nufra Senopher Zaffrullah1, Vinoth Manimaran1
1Department of ENT, Head and Neck Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India

Tóm tắt

To assess the clinical outcome of endoscopic septoturbinal surgeries in patients with rhinogenic contact point headache. Retrospective audit of medical records. Retrospective audit of medical records of patients having undergone endoscopic surgical management for contact point headache between a period of May 2017 to May 2018 were included in the study. Patients who underwent functional endoscopic sinus surgery were excluded from the study. Pre operative pain score were compared with post operative pain score at interval of 1 month for 3 months consequently and at 1 year interval using Visual Analog scale (VAS). The difference between preoperative (mean 6.82) and post operative VAS pain scores after 1 month (mean 3.36), 2 months (mean 4.50), 3 months (mean 5.48), 1 year (mean 5.01) was statistically significant (p < 0.001). Contact point headache is an important clinical entity that might be missed during evaluation and management of refractory headache. Surgical management under endoscopic guidance can help to ensure removal of mucosal contact point and aid in the treatment of refractory headache as noted in our study.

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Tài liệu tham khảo

Wolff HG (1948) The nasal, paranasal and aural structures as sources of headache and other pain. In: Wolff HG et al (ed) Headache and Other Head Pain. Oxford University Press, New York, pp 532–560 Morgenstein KM, Krieger MK (1980) Experiences in middle turbinectomy. Laryngoscope 90:1596–1603 Stammberger H, Wolf G (1988) Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl 134:3–23 Headache Classification Committee of the International Headache Society (2004) The international classification of headache disorders. Cephalalgia 24(suppl 1):1–160 Badran HS (2011) Role of surgery in isolated concha bullosa. Clin Med Insights Ear Nose Throat 4:13–19 Cady RK, Schreiber CP (2009) Sinus problems as a cause of headache refractoriness and migraine chronification. Curr Pain Headache Rep 13:319–325 Vukoje N, Garito J (2018) Surgical medicamentous approach to the treatment of the contact point headache. Glob J Oto 13(4):555870 Chow JM (1994) Rhinologic headaches. Otolaryngol Head Neck Surg 111:211–218 Bektas D (2011) Zekeriya Alioglu et Al, Surgical outcomes of contact point headaches. Med Princ Pract 20:29–33 Meyerhoff WL, Schaefer SD (1991) Physiology of the nose and paranasal sinuses. In: Paparella MM, Schumrick DA, Gluckman JL, Meyerhoff WL (eds) Otolaryngology. Saunders, Philadelphia, p 319 Parsons DS, Batra PS (1998) Functional endoscopic sinus surgical outcomes for contact point headaches. Laryngoscope 108(5):696–702 Herzallah IR, Hamed MA, Salem SM, Suurna MV (2015) mucosal contact points and paranasal sinus pneumatization: does radiology predict headache causality? Laryngoscope 125(9):2021–2026 Perić A, Rašić D, Grgurević U (2016) Surgical treatment of rhinogenic contact point headache: an experience from a tertiary care hospital. Int Arch Otorhinolaryngol 20(2):166–171 Perić A, Sotirović J, Baletić N, Kozomara R, Bijelić D et al (2008) Concha bullosa and the nasal middle meatus obstructive syndrome. Vojnosanit Pregl 65(3):255–258 Gerbe RW, Fry TL, Fischer ND (1984) Headache of nasal spur origin: an easily diagnosed and surgically correctable cause of facial pain. Headache 24:329–330 Anselmo-Lima WT, de Oliveira JA, Speciali JG, Bordini C, dos Santos AC, Rocha KV, Pereira ES (1997) Middle turbinate headache syndrome. Headache 37:102–106 Martin PR (2001) How do trigger factors acquire the capacity to precipitate headaches? Behav Res Ther 39:545–554 Behin F, Behin B, Bigal ME, Lipton RB (2005) Surgical treatment of patients with refractory migraine headaches and intranasal contact points. Cephalalgia 25:439–443