Pneumatized Superior Turbinate as a Cause of Referred Migraine Headache

Clerico, D

doi:10.1097/00005537-199607000-00017

Cited by 71 publications

(76 citation statements)

References 16 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Apart from the abnormalities of lateral nasal wall nasal endoscopy can precisely diagnose the pathological abnormalities of the nasal septum. 8 Olphen described that Cottle in 1963 gave the concept of conventional septoplasty which is done in 6 phases: Thus the advent of nasal endoscope facilitates the accurate identification of the septal deviations with limited mucoperichondrial flap elevation, minimal cartilage resection as well as proper realignment of the septum and thus the endoscopic septoplasty is a convincing alternative to the conventional septoplasty. Nasal obstruction 78% 90%…”

Section: Discussionmentioning

confidence: 99%

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

Chandra¹,

Baisakhiya²

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Nasal obstruction is the most common complaint in ENT practice. Surgical correction of deviated nasal septum has been performed by a variety of techniques of which sub mucous resection and Septoplasty procedures of surgical correction of nasal septum play a prime role in management of patients of nasal obstruction. Nasal endoscope is very useful tool to visualize posterior part of septum and do the surgery more precisely and with less complication as compare to conventional method. The objectives of the study were to compare the outcomes of conventional and endoscopic septoplasty, to evaluate the advantages, disadvantages and complications of both endoscopic and conventional septoplastyMethods: 50 cases (between (Oct. 2014 - March 2016) of deviated nasal septum selected in this prospective study and they were randomly divided equally in 2 groups for endoscopic (A) and conventional (B) septoplasty respectively. Results: The study included 50 cases. Majority of patients in this study were males 84% (n=42) and 16% (n=18) were female. 46% (n=23) patients had DNS to right side and 54% (n=27) patients had left side, anterior deviation (48%). C and S shaped deviations (14%). Spur was present in 22% (n=11) of cases and 10% (n=5) patients presented with thickening. After completing 2 months of follow up 92% (n=23) of group A and 88% (n=22) of group B were relieved from nasal discharge, while nasal obstruction was absent in 96% (n=24) patients of group A and 80% (n= 20) of group B. 4% cases (n=1) in endoscopic septoplasty was having persistent deviated nasal septum and 16% (n=4) patients of conventional septoplasty belong to this group.Conclusions: Endoscopic septoplasty has an obvious edge over the conventional approach due to better illumination which enables to identify the pathology accurately, excise the deviated part of septum precisely and realignment of the cartilage for best results.

show abstract

Section: Discussionmentioning

confidence: 99%

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

Chandra¹,

Baisakhiya²

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Vazoaktif bir ajan olan substans P, vazodilatasyon, plazma ekstravazasyonu, düz kas kontraksiyonu ve mast hücrelerinden histamin sal›n›m›na neden olur. 1,5 Burun mukozas›nda bulunan polimodal reseptörlerin enfeksiyon, kimyasal maddeler, bas›nç ve benzeri nedenlerle uyar›lmas› sonucu bu bilgi miyelinize olmayan C lifleri ile kortekse ulaflt›r›lmakta ve a¤r› olarak hissedilmektedir. 5,[8][9][10][11] Chow, 2 bafl a¤r›s› flikayeti olan 18 hastay› araflt›r-m›fl ve bu hastalar›n 12'sinde lateral nazal duvarla temas eden septal spurun, birinde enfekte retansiyon kistinin, ikisinde enfekte olmayan retansiyon kistinin, ikisinde septal olmayan mukozal kontak noktalar›n›n ve birinde de infraorbital sinir dehisans›n›n bafla¤r›s›na neden oldu¤unu bildirmifltir.…”

Section: Tart›flmaunclassified

“…1 Süperior konkalar, tarihsel ve anatomik olarak en fazla ihmal edilen ve en az de¤erlendirilen konkalard›r ve "unutulan konka" olarak bilinirler. Paranazal sinüs BT'si ve diagnostik nazal endoskopi ile daha kolay gö-rülebilir ve de¤erlendirilebilirler.…”

Section: Tart›flmaunclassified

“…Süperior konkalar; a) serbest duran turbinat (her iki taraf› mukozayla örtülü tek kemik lamella), b) posterior etmoid hücrelerin medial duvar›ndan kaynaklanan süperior konka ve c) pnö-matize süperior konka olmak üzere üç anatomik konfigürasyonda radyolojik olarak görülebilirler. 1 Ar›yürek ve ark, 7 52 hastan›n paranazal sinüs BT'sini retrospektif olarak gözden geçirmifl ve %48 oran›nda süperior konka pnömatizasyonu oldu¤unu bildirmifllerdir. Bu olgular›n 14'ünde (%26.9) ünilateral, 11'inde (%21.1) ise bilateral pnömatize süperior konka tespit etmifllerdir.…”

Section: Tart›flmaunclassified

“…Kulak burun bo¤az literatüründe orta konka ile temas eden nazal septum veya lateral nazal duvar, septumla temas eden inferior konka, orta konka ile temas eden etmoid bülla, lateral nazal duvarla temas eden nazal spur veya pnömatize süperior konka nedeniyle meydana gelen bafl ve yüz a¤r›s› olgular› bildirilmifltir. [1][2][3][4][5] Orta konkadaki kadar olmasa da süperior konkalar›n da pnömatize olabilece¤i Messenklinger taraf›ndan bildirilmifltir. 6 Ar›yürek ve ark, 7 süperior konkada havalanma olma olas›l›¤›n› %48 olarak rapor etmifllerdir.…”

unclassified

See 2 more Smart Citations

Baş ağrısı ve pnömatize üst konka

Kaygusuz¹,

Murat²,

Susaman³

et al. 2007

Turk Arch Otolaryngol

View full text Add to dashboard Cite

Headache and pneumatized superior conchaObjectives: The conchal pathologies are the most important part of the rhinological originated headaches. The aim of this study was to investigate the association between headache and pneumatization of superior concha.Methods: 150 patients (113 female, 37 male) with headahce were included to the study. The patients were examined for ear nose throat pathologies and consultated by neurology and ophthalmology. Their both paranasal sinus and brain computerized tomographies (CT) were evaluated. Ninety-six patients who have nasal septal deviation, sinusitis findings, pathologies of procesus uncinatus (sloping to lateral or medial), bulla ethmodalis (prominent to anterior, pneumatized) and middle concha (paradox middle concha, concha bullosa) and hypertrophy of inferior concha, according to paranasal sinus CT and nasal endoscopic examination; 7 patients who have vascular type headache and migraine; 14 patients who have ophthalmic refraction fault, totally 117 patients were excluded to the study. Results:The study was completed with 33 patients (28 female, 5 male). The mean age of the 33 patients was 31.00±11.00 (ranged from 17 to 50). Headache were localized on frontal region in 28 patients (84.8%, 25 bilateral and 3 unilateral), on occipital region in 3 patients (9.1%) and on vertex in 2 patients (6.1%). The pneumatization of superior concha were observed bilaterally in 8 patients (24.2%) and unilaterally in 3 patients (9.1%). Conclusion:The pneumatization of superior concha should be considered in patients who have headache but no pathologic examination findings. Nasal endoscopic examination and paranasal sinus CT evaluation are required in these patients for mentioned pathology. ÖzetAmaç: Rinolojik kökenli bafl a¤r›lar›n›n önemli bir sebebi konka patolojileridir. Bu çal›flman›n amac› bafl a¤r›s› ile süperior konka pnö-matizasyonu aras›ndaki iliflkiyi araflt›rmakt›r.

show abstract

Directed Functional Endoscopic Sinus Surgery and Headaches

Cunning²

2000

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Pneumatized Superior Turbinate as a Cause of Referred Migraine Headache

Cited by 71 publications

References 16 publications

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

A comparative study of endoscopic versus conventional septoplasty: an analysis of 50 cases

Baş ağrısı ve pnömatize üst konka

Directed Functional Endoscopic Sinus Surgery and Headaches

Contact Info

Product

Resources

About