Analysis of headache outcomes in patients treated with nasal and sinus surgery

• Main Authors: Peter J Catalano (Author), Melinda V Davis (Author), Brendan G Fennessy (Author)
• Format: Book
• Published: Archives of Otolaryngology and Rhinology - Peertechz Publications, 2019-02-28.
• Subjects: Research Article
• Online Access: Connect to this object online.

<p>Introduction: The diagnosis and management of rhinogenic headaches is debated among rhinologists and neurologists alike; the role for surgical intervention remains controversial. </p><p>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. </p><p>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). </p><p>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.</p>