Middle Turbinate Evacuation Conchoplasty in Management of Contact-Point Rhinogenic Headache in Children

Abstract

Background: Our objective is to evaluate the efficacy and outcomes of endoscopic evacuation of middle turbinate "concha bullosa" compared with lateral partial turbinectomy, in children with chronic contact-point headaches. For the research, this study is using prospective clinical trial and setting in Otolaryngology department, Tanta University Hospital, Egypt.

Anatomical variations of nose causing rhinogenic contact point headache – a study at a tertiary care hospital of eastern India

“…Few authors described treatment of contact point headaches using transaction of fifth cranial nerve or injection of Gasserian ganglion by alcohol or novocaine. 2 Before era of endoscopic sinus surgery, complete removal of middle turbinate was done to manage concha bullosa. After evolution of endoscopic sinus surgery, techniques like partial turbinectomy and turbinoplasty are practiced aiming to relieve the contact point headaches.…”

“…Rhinogenic contact point headache (RCPH) is defined as intermittent pain localized in the periorbital and medial canthal or temporozygomatic regions; evidence of mucosal contact points with postural movements; cessation of headache within 5 minutes following topical use of local anesthesia at contact area and significantly resolution of headache in less than 7 days following removal of contact points. 2 Intranasal contact points denotes to a contact between two opposing intranasal mucosal surfaces. Intranasal contact points are present in about 4% of noses.…”

Eustachian dysfunction in chronic otitis media with bilateral concha bullosa: Is it chance finding?

“…This has been supported by significant statistical correlation that has been observed between the results of tubal manometric measurements for Eustachian dysfunction and increased nasal resistance by rhinomanometric and constant body plethysmography (Jaeger), respectively, in two separate studies. [5,6] Different techniques for turbinoplasty include endoscopic partial lateral middle turbinectomy [7] and evacuation conchoplasty [8] for surgical management of concha bullosa. We used the latter technique in our patient.…”

The Surgical Outcome of Chronic Rhinosinusitis with Emphasis on Rhinogenic Headache

“…Antibiotics, topical or oral corticosteroids, and nasal saline irrigations can all be used to treat infectious CRS.. 1,2 Surgery is normally reserved for individuals who have failed to respond to medicinal treatment. CRS is a clinical syndrome characterised by rhinologic symptoms as well as indications of sinus inflammation on nasal endoscopy, computed tomographic (CT) imaging, or both.…”