Zechner G
MMW Munch Med Wochenschr. 1977 Apr 8;119(14):453-6.
Since about 20% of the patients in a headache clinic have ENT complaints an ENT specialist should be consulted for diagnosis and treatment. It is very important to know what structures in the head and neck are sensitive to pain for diagnostic and differential diagnostic purposes. Primary and secondary neuritis are headache mechanisms in otolaryngology and also tension headache, which is specially discussed. Rhinogenous contact headache and headache as cardinal symptom in various syndromes are also stressed as specific to ENT. Finally a scheme is given for investigating a headache patient from the otolaryngological point of view.
由于头痛门诊约20%的患者有耳鼻喉科相关主诉,因此应咨询耳鼻喉科专家进行诊断和治疗。了解头颈部哪些结构对疼痛敏感,对于诊断和鉴别诊断非常重要。原发性和继发性神经炎是耳鼻喉科的头痛机制,紧张性头痛也在文中专门讨论。文中还强调了鼻源性接触性头痛以及各种综合征中以头痛为主要症状的情况,这些都与耳鼻喉科相关。最后给出了从耳鼻喉科角度对头痛患者进行检查的方案。