Paranasal Sinus Etiology of Headaches and Facial Pain

Paranasal Sinus Pathologies in Patients Presenting with Headache as the Primary Symptom

“…When conducting a literature review, pain was discovered as being referred to dermatomes by the first and second divisions of the trigeminal nerve. In ethmoid and frontal sinus diseases, pain is localized around the glabella, the inner canthus, between the eyes, or above the brow (8). The pain associated with the maxillary sinus may localize over the antral area with radiation to the upper teeth or forehead (8).…”

“…In ethmoid and frontal sinus diseases, pain is localized around the glabella, the inner canthus, between the eyes, or above the brow (8). The pain associated with the maxillary sinus may localize over the antral area with radiation to the upper teeth or forehead (8). In sphenoid sinus lesions, the pain location may be quite variable and could be over the occipital area, vertex, frontal region or behind the eyes (8).…”

Experience with the xylocaine test as a prognostic aid for surgery in Sluder's neuralgia

“…(1986) suggested that anatomical variations related to the middle turbinate in contact with other intranasal structures may cause referred facial pain. Friedman and Rosenblum (1989) and Stammberger and Wolf (1988) mentioned that intense mucosal opposition caused local irritation with the release of P substance, which mediates pain in the nasal mucosal lining.…”

Neuralgia-like symptoms in a patient with an airgun pellet in the ethmoid sinus: a case report

“…While the nasociliary nerve which is a branch of the ophthalmic division, supplies the anterior cells by way of the anterior ethmoidal nerve, the posterior ethmoid cells receive input via the posterior lateral nerve branches of the sphenopalatine nerve. Additionally the posterior ethmoid cells also receive a contribution from the ophthalmic division of the Vth cranial nerve via the posterior ethmoidal nerve (Friedman and Rosenblum, 1989). It is also known that acute inflammation of the posterior ethmoid air cells can cause inflammation of the maxillary nerve and cause trigeminal neuralgia-like symptoms (Friedman and Rosenblum, 1989).…”

“…Additionally the posterior ethmoid cells also receive a contribution from the ophthalmic division of the Vth cranial nerve via the posterior ethmoidal nerve (Friedman and Rosenblum, 1989). It is also known that acute inflammation of the posterior ethmoid air cells can cause inflammation of the maxillary nerve and cause trigeminal neuralgia-like symptoms (Friedman and Rosenblum, 1989). Inflammation of the posterior ethmoidal cells causes referred pain over the parietal area and can spread over the entire head.…”