Department of Health Sciences, ASST Santi Paolo e Carlo, Otolaryngology Department, Università degli Studi di Milano, Via Antonio di Rudinì 8, 20142, Milan, Italy.
ASST Santi Paolo e Carlo, Otolaryngology Department, Via Antonio di Rudinì 8, 20142, Milan, Italy.
Neurol Sci. 2018 Jun;39(Suppl 1):21-24. doi: 10.1007/s10072-018-3336-z.
Headache secondary to sinonasal disease is still overestimated in the diagnostic pathway of cephalalgia. Contrary to belief, so-called sinus headaches are fairly uncommon and seen mostly in acute sinusitis or acute exacerbations. Even though literature has written extensively about the prevalence of migraines in self-diagnosed or primary care-diagnosed sinus headache, there is only a small body of literature regarding the real prevalence of pain and headache occurring during acute and chronic sinusitis.We reviewed the current literature and clarified the differences in presentation of pain for acute and chronic sinusitis, highlighting the higher prevalence of pain in chronic rhinosinusitis without polyps versus with polyps. Furthermore, we stressed the need for a rethinking in the clinical diagnosis of sinusitis based on pain as a major symptom.
由于鼻腔鼻窦疾病引起的头痛在头痛的诊断路径中仍然被高估。与人们的普遍看法相反，所谓的鼻窦头痛并不常见，主要见于急性鼻窦炎或急性加重期。尽管文献广泛描述了偏头痛在自我诊断或初级保健诊断的鼻窦头痛中的流行程度，但关于急性和慢性鼻窦炎期间发生疼痛和头痛的实际流行程度的文献很少。我们回顾了当前的文献，阐明了急性和慢性鼻窦炎疼痛表现的差异，强调了无息肉和有息肉的慢性鼻-鼻窦炎疼痛发生率更高。此外，我们强调需要重新思考基于疼痛作为主要症状的鼻窦炎的临床诊断。
