The rhinogenic headache resulting from the contact point between inferior turbinate and septal spur

Zhengcai, Lou

doi:10.1016/j.amjoto.2019.102281

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…The study done by Lou supposed that The pressure between the hyperplasia of fibrosis of the inferior turbinate mucosa and the mucosperiostium of the nasal septum may cause persistent compression discomfort in the head and face, although simple mucosal edoema may not be enough to cause the pain. This correlates with our study at which the contact between the hypertrophied inferior turbinate , hypertrophied middle turbinate (concha bullosa) and the septal spur which show clinical improvement of their headache after endoscopic correction 16 .…”

Section: Discussionsupporting

confidence: 89%

Effect of endoscopic septoturbinal surgery in management of contact headache

Abdelaal

Elhabashy

Amin

2022

Al-Azhar International Medical Journal

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Background: There are numerous causes for headache due to underlying local and systemic disorders. A rhinogenic headache that is studied here is a pain of the face and head caused by an intranasal contact mucosal point without any inflammation or tumour. Aim of the work: Is to assess the value of endoscopic septoturbinal surgery in management of contact mucosal points. Patients and methods: This a prospective cohort study done on 30 patients between May 2020 to June 2021 ,who had rhinogenic headache and did not had any nasal or paranasal sinus pathology nor other local or systemic causes were included in our study. Nasal endoscopy,xylocaine and computed tomography(CT) were used to confirm the presence of mucosal contact .The study done on 30 patients ,the visual analogue scale (VAS) was used to assess the severity of headache at the time of diagnosis and after 3 months of the endoscopic surgery and the results were compared. Results: The most common cause of contact mucosal headache was the deviated septum with hypertrophied inferior turbinate 43.3% ,hypertrophied middle turbinate26.7% , deviated septum with hypertrophied superior turbinate 13.3%, deviated septum with septal spur10%,deviated septum with hypertrophied middle turbinate 3.3%, hypertrophied inferior and middle turbinate 3.3%. The (VAS) had significant statistical improvement from mean 7.6 at the time of diagnosis and changed into 1.8 after 6 months of the endoscopic septoturbinal surgery postoperatively. Conclusion:In patients with rhinogenic headache caused by contact mucosal points, endoscopic surgical treatment yields a better results.

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Section: Discussionsupporting

confidence: 89%

Effect of endoscopic septoturbinal surgery in management of contact headache

Abdelaal

Elhabashy

Amin

2022

Al-Azhar International Medical Journal

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“…Some authors believe that mucosal contacts are not able to induce headache unless the CP is under pressure. 13 Furthermore, mucosal edema may not be sufficient to cause the pain. On the other hand, hyperplasia of inferior or middle turbinate could make such a compression resulting in chronic headache.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the Treatment of Rhinogenic Headache Caused by Intranasal Contact

Folić

Barać

Ugrinovic³

et al. 2021

Ear Nose Throat J

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Objectives: The aim of the study is to evaluate the effectiveness of the surgical and nonsurgical treatment of headache caused by contact points (CPs) between the nasal septum and inferior or middle turbinate. Methods: The research was designed as a prospective clinical case-series study. The patients with CP headaches were offered to choose between 2 treatment options, surgery and medical treatment. Two groups of surgically treated patients (surgery groups 1 and 2, depending on whether there is a contact between nasal septum and inferior turbinate or middle turbinate) were evaluated and compared for headache intensity and frequency. Headache intensity was measured using a visual analog scale value from 0 to 10; the frequency of headache was expressed as the number of days during 1 month with a headache (before surgery, 1 month, and 6 months after surgery). A comparison was also made between surgically and nonsurgically treated patients. Results: We found more intensive and frequent headache in patients who had CP between the nasal septum and the middle turbinate ( P = .038 and P = .003, respectively). A significant reduction in headache intensity and frequency was found in both groups of surgically treated patients 6 months after surgery; however, this reduction was more significant in patients with mucosal contact between nasal septum and middle turbinate. The nonsurgical treatment made a significant reduction of headache intensity and frequency at 1-month follow-up ( P = .012 and P = .031, respectively), but not at 6-month follow-up ( P = .114 and P = .088, respectively). Conclusion: Surgery gave a statistically significant reduction in the intensity and frequency of headache, which was assessed 6 months after surgery. Surgery was found as superior to nonsurgical treatment in the therapy of CP headache.

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“…The literature has reported that it also occurs concerning middle concha hypoplasia or accessory maxillary ostium (Cellina et al, 2020). Studies are stating that septal spur may cause rhinogenous headache and tinnitus (Peric et al, 2016; Lou, 2019). In the literature, the prevalence of septal spur variation in individuals without cleft palate; Earwaker (1993) 7.2%; Perez et al (2000) found 13.6%, Dasar and Gokce (2016) 58.8%.…”

Section: Variations Of Nasal Septummentioning

confidence: 99%

A CBCT Study for Anatomic Variations of Osteomeatal complex in Patients With Cleft Lip and Palate

Göksel

Özcan

2021

The Cleft Palate Craniofacial Journal

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Objective To evaluate the anatomy and variations of osteomeatal complex (OMC) by comparing patients with nonsyndromic cleft lip and palate (CLP) and control group. Design This case-control study was retrospectively analyzed using cone-beam computed tomography data. Setting Istanbul University Faculty of Dentistry Department of Dentomaxillofacial Radiology. Patients The study was conducted with 100 patients (44 females, 56 males) with CLP and 100 patients in the control group, which matched gender and age (with a maximum difference of 3 years). Variables OMC variations are grouped as follows: ethmoidal, conchal, uncinate process, and septal variations. Then, we evaluated the presence of these OMC variations and compared them between the two groups. Statistical analysis The McNemar's test was used to determine any significant differences between the groups for all indices at the 95% confidence level. Results The most common anatomic variation in this study was Agger nasi cell (97%) and concha bullosa (97%) in the patients with CLP, while Agger nasi cell was the most common variation (99%) in the controls. Moreover, the atelectatic uncinate process was the least observed variation in both groups (1%). The incidences of paradoxical concha (58%;42%), bifid concha (29%;11%), deviated nasal septum (92%;80%) were significantly higher in the CLP group ( p < 0.05). Conclusions The statistically significant results found when comparing OMC anatomy between the two groups reveal the importance of three-dimensional evaluation before functional endoscopic sinus surgery in patients with CLP.

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The rhinogenic headache resulting from the contact point between inferior turbinate and septal spur

Cited by 4 publications

References 15 publications

Effect of endoscopic septoturbinal surgery in management of contact headache

Effect of endoscopic septoturbinal surgery in management of contact headache

Effectiveness of the Treatment of Rhinogenic Headache Caused by Intranasal Contact

A CBCT Study for Anatomic Variations of Osteomeatal complex in Patients With Cleft Lip and Palate

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