Evaluation of rhinogenic headache in patients submitted to endonasal surgery
DOI:
https://doi.org/10.34631/sporl.4Keywords:
Headache, Sinusitis, Endonasal SurgeryAbstract
Objectives: To investigate if acute sinus infection is the only physiopathological mechanism explaining rhinogenic headaches, as well as to evaluate the efficacy of Turbinectomy, Nasal Turbinates Electrocoagulation, Endoscopic Nasal Surgery and Septoplasty in the improvement of rhinogenic headaches.
Study Design: Observational, analytic and retrospective study.
Material and Methods: Study sample formed by 44 patients with nasal and sinus pathology whom had undergone surgery between January 1 and March 31, 2012.
Results: Chronic sinusitis without acute exacerbation cannot be excluded as being associated with rhinogenic headaches. There were no significant statistical differences between the prevalence of headaches before and after surgery.
Conclusion: Other physiopathological mechanisms, different from acute sinus infection, may also explain rhinogenic headaches. Studies with a bigger sample size are necessary to evaluate the efficacy of the cited surgeries in improving headaches.
References
Monteiro JM, Ribeiro CA, Luzeiro IM, Machado MG, et al.. Recomendações Terapêuticas para as Cefaleias. Sinapse 2009;9(2):3-36.
Sociedade Internacional de Cefaleias.. Classificação Internacional de Cefaleias - 2.ª Edição. Sinapse 2005;5(1):3-130.
Ostroski LL, Selonke I, Rispoli DZ, Valle GR, et al.. Avaliação da cefaleia rinogênica em pacientes submetidos a cirurgia endoscópica nasussinusal. Acta Otolaryngol, 2010;28(4):11-4.
Setzen M.. Rhinogenic Headache. Otolaryngol Head Neck Surg 2005;11(9):1-4.
Grevers G.. Anatomy, Physiology, and Immunology of the Nose, Paranasal Sinuses, and Face. In: “Basic Otorhinolaryngology”, Probst R, Grevers G, Iro H (Eds)., Thieme, Nova Iorque 2006:pp.2-12.
