The Surgical Outcome of Chronic Rhinosinusitis with Emphasis on Rhinogenic Headache

Abstract

Background: Chronic rhinosinusitis (CRS) is a chronic inflammatory condition that affects the nose and sinuses. CRS is caused by a number of variables, including genetics, the state of the sinonasal microbiome, infections, and environmental factors. Aim of the study: To keep track of the results. of sinus surgery and to evaluate headache severity, duration, and frequency. Patients and Methods: A prospective study was conducted at Al-Azhar University Hospital. We targeted 60 Patients of both sexes between the ages of 18 and 65. Three groups were formed : Group (1): Chronic Rhinosinusitis with or without concha bullosa, Group (2): Chronic Rhinosinusitis with or without hypertrophy turbinate, and Group (3): Chronic Rhinosinusitis with or without deviated septum. Result: A total of 60 patients, significant difference found regarding nasal obstruction between the groups. Based on Visual Analogue Scale (VAS), the intensity of pain in the group1revealed a highreduction from 6.25 ± 1.87 (Preoperative) to 2.88 ± 1.01 (3 months aftertreatment) and 1.54 ± 1.21 (6 months following therapy ent). In group 2 the intensity of pain revealed a high reduction from 5.87 ± 0.911 (Preoperative) to 3.01 ± 1.39 (3 months following therapy) and 1.33 ± 0.935 (6 months following therapy). In group 3 The level of discomfort was shown to be significantly reduced from 6.48 ± 1.72 (Preoperative) to 2.51 ± 0.993 (3 months after treatment) and 1.59 ± 1.13 (6 months after treatment). Conclusion:The surgical removal of contact points in the nasal cavity can help with headache relief. The severity, duration, and frequency of contact point headaches are the highest. Chronic rhinosinusitis, rhinogenic headache, and sinus surgery are all terms used to describe chronic rhinosinusitis.