Sinus or nasal surgery alleviates headache symptoms: A prospective study

• Egile Nagusiak: Vegard Bugten (Egilea), Marte Fossum (Egilea), Ann Helen Nilsen (Egilea)
• Formatua: Liburua
• Argitaratua: Archives of Otolaryngology and Rhinology - Peertechz Publications, 2018-11-05.
• Gaiak: Research Article
• Sarrera elektronikoa: Connect to this object online.

<p><strong>Introduction</strong>: The primary aim of this prospective study was to evaluate headache severity before and</p><p>after surgery in patients with chronic rhinosinusitis without polyps (CRSsNP), chronic rhinosinusitis with</p><p>polyps (CRSwNP), deviated nasal septum (DNS), and inferior turbinate hypertrophy (ITH). Our secondary</p><p>aim was to compare the improvement of headache symptoms in these different patient groups.</p><br><p><strong>Methods</strong>: We enrolled 154 patients with CRSsNP, 130 patients with CRSwNP, 144 patients with DNS</p><p>with or without ITH, and 69 patients with only ITH. Problems with headaches were reported on a visual</p><p>analogue scale (VAS) preoperatively and six months postoperatively.</p><p><strong><br></strong></p><p><strong>Results</strong>: Patients with CRSsNP reported preoperatively signifi cantly more headaches on the VAS than</p><p>the other patient groups. Headaches improved signifi cantly after surgery (p<0.001) but they improved more</p><p>in CRSsNP patients than in other patient groups. Postoperatively, there were no signifi cant differences</p><p>in headache problems between the groups. The CRSsNP group reported 50 (standard deviation [SD] 29)</p><p>on the VAS preoperatively and 25 (SD 26) postoperatively, the CRSwNP group reported 28 (SD 30) versus</p><p>18 (SD 25), the DNS group reported 31 (SD 30) versus 17 (SD 24), and the ITH group reported 31 (SD 32)</p><p>versus 19 (SD 25). Subgroup analyses identifi ed gender as a factor that has an infl uence on the headache.Female patients reported a mean VAS score of 49 (SD 31) preoperatively and 28 (SD 28) postoperatively. Male patients reported a mean VAS score of 29 (SD 29) preoperatively and 15 (SD 22) postoperatively.</p>