Study of Role of Contact Points in Nose as a Causal Factor in Refractory Headaches and the Outcome of Surgical Treatment
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: Contact point headaches have been attributed to intranasal contact between opposing mucosal surfaces, resulting in referred pain in the distribution of the trigeminal nerve. In subjects with primary headaches, contact points may be associated with treatment refractoriness. Aim: The aim of this study is to evaluate the outcome of surgical treatment of patients with refractory headaches with intranasal mucosal contact points and to find out the most common contact point related to headache. Materials and Methods: Patients clinically presenting with headache were selected. Only patients with headache due to rhinogenic causes without sinusitis were subjected to computed tomography scan of paranasal sinuses and diagnostic nasal endoscopy and were followed up to evaluate management. Results: Overall 86% of patients felt marked improvement in their headaches while 8% had moderate and 6% had mild symptoms at the end of the study. Conclusion: Surgical correction of contact points in the nose by functional endoscopic sinus surgery results in relief of chronic headache. The results of surgical outcome of treatment of chronic headache are evident mostly within 2 months of treatment.
Authors and Affiliations
M Senthil Kanitha, D Rajkamal Pandian, Heber Anandan
Keywords
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