The Anterior Ethmoid Nerve Syndrome

Shalom, Albert S.

doi:10.1017/s0022215100060680

Cited by 6 publications

(17 citation statements)

References 5 publications

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“…These data support the idea that we can define areas of the nasal mucosa that trigger pain such as the anterior portion of the medium concha and the corresponding region of the nasal septum [3][4]6 .…”

Section: Pathophysiologysupporting

confidence: 83%

“…The causal relation between nasal anatomical variations and headache became the object of investigation of many different authors that started to give special attention to the role of sensorial inervation of the nasal cavity, because its stimulation, specially mechanical, would be considered the triggering of the referred pain 6,4,[8][9][10] .…”

Section: Anatomymentioning

confidence: 99%

“…The nerve goes down through the sulcus on the internal aspect of the nose bone and then is exteriorized by going through the nose bone and superior lateral cartilage as external nasal nerve. In the nasal cavity, there are medial branches to the septum and lateral branches to the anterior portions of the medium and superior concha and to the lateral wall anterior to them 6 . The anatomical characteristics of the anterior ethmoid nerve, that is, its superficial pathway concerning the nasal mucosa and the narrow bone canals that it crosses, makes it susceptible to pathological processes 7 .…”

Section: Anatomymentioning

confidence: 99%

“…Some observations consider that the triggering stimulus of symptoms occurs in the area named retro-tubercular, located behind the septal thickness at the level of the chrondro-cutaneous joint, which is distributed from the ophthalmic branch 7 . However, other authors consider that this region has inervation by the sphenopalatine ganglion 6 , that is, maxillary nerve.…”

Section: Pathophysiologymentioning

confidence: 99%

“…It is noted, though, that many factors may be implied in the production of pain of nasal etiology, so as that the pathophysiological aspect that relates nasal anatomical variations and craniofacial pain becomes more important. Many authors have studied the topic since the beginning of the century, defining clinical syndromes such as anterior ethmoid nerve syndrome 6 , nasociliary nerve syndrome, olfactory tissue syndrome 7 , septal contact headache 4 , four-finger headache syndrome 8 and nasal spore headache 9 . Many clinical observations made by these authors, including the good results of treatment of these patients with simple clinical procedures, are relevant in the determination of the cause-relation between nasal anatomical variations and craniofacial pain.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Dor craniofacial e anormalidades anatômicas das cavidades nasais

Mendonça¹,

Filho²

2005

Rev. Bras. Otorrinolaringol.

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The causal relation between anatomical variations of the nose and headaches and facial pain is analyzed through literature review of the topic. The pathogenesis that can be involved in this relation proves to be wider than simple alteration of nasal septum and turbinates that can cause mechanical stimulus through contact between these structures, which covers infectious factors, neurogenic inflammation, correlation with migraines and the role of nasal obstruction. The clinical findings of a lot of authors including the test with topical anesthetic to prove this causal relation, the indication of surgical treatment, in addition to good results of this treatment, are reported. The mechanism of pain relief obtained through surgical correction of nasal septum and turbinate is discussed. These data make us conclude that there are multiple etiologic factors involved, which makes us question the fundamental role of the mechanical aspect.

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Section: Pathophysiologysupporting

confidence: 83%

Section: Anatomymentioning

confidence: 99%

Section: Anatomymentioning

confidence: 99%

Section: Pathophysiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Dor craniofacial e anormalidades anatômicas das cavidades nasais

Mendonça¹,

Filho²

2005

Rev. Bras. Otorrinolaringol.

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Craniofacial pain and anatomical abnormalities of the nasal cavities

Mendonça

Filho

2005

Brazilian Journal of Otorhinolaryngology

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Computed Tomographic Exploration of the Middle Ethmoidal Artery

et al. 2015

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Objectives?The integral involvement of sinus and skull base surgeries in the field of otolaryngology makes the endonasal vasculature including the ethmoidal arteries important to consider. The anterior ethmoidal artery (AEA) and posterior ethmoidal artery (PEA) are well-known entities, yet the relatively recent notion of accessory or middle ethmoidal vessels complicates our understanding of this arterial system. Study Design?Radiographic study. Methods?Fifty computed tomographic angiographies were studied for the presence of accessory/middle ethmoidal arteries (MEAs). If contrasted arteries were not visualized reliably, foramina were accepted as evidence of arteries. The accessory arteries/foramina were then compared with the locations of the AEA and PEA. Results?A total of 19 of the 50 patient samples studied had evidence of a right, left, or bilateral middle ethmoidal vessels (38%). Overall, 26 arteries total were identified out of the 100 sides (26%). Unilateral middle arteries were more common than bilateral, and right sided were more common than left. There was no evidence of multiple MEAs on a given side. Conclusion?The endonasal surgeon must be cognizant of the possible presence of MEAs. These arteries should be considered when working in the medial orbit and anterior skull base region.

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The Anterior Ethmoid Nerve Syndrome

Cited by 6 publications

References 5 publications

Dor craniofacial e anormalidades anatômicas das cavidades nasais

Dor craniofacial e anormalidades anatômicas das cavidades nasais

Craniofacial pain and anatomical abnormalities of the nasal cavities

Computed Tomographic Exploration of the Middle Ethmoidal Artery

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