Chow J M
Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60153.
Otolaryngol Head Neck Surg. 1994 Sep;111(3 Pt 1):211-8. doi: 10.1177/01945998941113P109.
From January 1, 1991, to June 30, 1992, 18 patients were identified as having rhinologic sources for their primary symptom of facial pain or headache. These 18 patients satisfied certain inclusion and exclusion criteria to identify the site of origin of the headaches or facial pains as coming from the nasal cavities or paranasal sinuses. The majority of these patients (12 patients) were determined to have a septal spur causing the facial pain or headache. Other identified causes included retention cysts (3 patients), mucosal contact points (2 patients), and a dehiscent infraorbital nerve (1 patient). Fifteen of these 18 patients (83%) were significantly improved or cured of their facial pain or headache after medical or surgical therapy. The 3 patients who had either a minimal improvement or no improvement in their facial pains or headaches included 1 patient with an area of mucosal contact between the middle turbinate and the bulla ethmoidalis and 2 patients with septal spurs. In summary, medical or surgical therapy can be beneficial in the treatment of patients with headaches or facial pains of rhinologic origin.
从1991年1月1日至1992年6月30日，确定有18例患者的面部疼痛或头痛主要症状源自鼻科疾病。这18例患者符合某些纳入和排除标准，以确定头痛或面部疼痛的起源部位是鼻腔或鼻窦。这些患者中的大多数（12例）被确定患有鼻中隔棘突导致面部疼痛或头痛。其他确定的病因包括潴留囊肿（3例）、黏膜接触点（2例）和眶下神经裂孔（1例）。这18例患者中有15例（83%）在接受药物或手术治疗后，面部疼痛或头痛得到显著改善或治愈。面部疼痛或头痛改善甚微或没有改善的3例患者包括1例中鼻甲与筛泡之间存在黏膜接触区域的患者和2例患有鼻中隔棘突的患者。总之，药物或手术治疗对治疗鼻科源性头痛或面部疼痛的患者可能有益。
