Introduction: The diagnosis and management of rhinogenic headaches is debated among rhinologists and neurologists alike; the role for surgical intervention remains controversial.
Methods: This prospective, controlled study (n=40) evaluates the role of targeted nasal and sinus surgery in patients presenting with the primary complaint of headache with (group A), or without (group B) radiological evidence of sinus disease.
Results: Following targeted nasal and sinus surgery, the Headache Impact Test score (quality of life questionnaire) was significantly reduced from a mean of 62.6 to 47.8, and 62.0 to 42.3 in Groups A and B, respectively (> 60 indicates severe impact on quality of life; <49 implies a minor impact).
Discussion: This study demonstrates a possible role for targeted nasal and sinus surgery for the management of patients with headache, facial pain, and/or pressure having clinical and radiographic features described herein, regardless of the presence of sinus disease radiographically.
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Published on: Feb 28, 2019 Pages: 20-25
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DOI: 10.17352/aor.000090
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