Parsons D S, Batra P S
Department of Surgery, University of Missouri-Columbia School of Medicine, USA.
Laryngoscope. 1998 May;108(5):696-702. doi: 10.1097/00005537-199805000-00013.
Headaches secondary to sinonasal anatomic abnormalities continue to remain a difficult entity to diagnose and to manage. This retrospective study analyzed the outcome of care for 34 patients who presented with headaches as one of their primary sinonasal complaints and were subsequently found to have contact points between the nasal septum and one or more turbinates on nasal endoscopy and/or computed tomography scan. Following functional endoscopic sinus surgery to relieve the contact points, these patients were interviewed regarding preoperative and postoperative intensity and frequency of the headaches and the overall response of the chronic sinusitis and headaches to surgery, after a mean follow-up period of 13.9 months. After surgery, reduction in intensity and frequency of headaches was experienced in 91% and 85% of the patients, respectively. This investigation demonstrates that surgical management of contact point headaches can make a significant impact on the headache symptomatology in children and adults.
继发于鼻窦解剖异常的头痛仍然是一种难以诊断和处理的病症。这项回顾性研究分析了34例以头痛作为主要鼻窦症状就诊的患者的治疗结果，这些患者随后经鼻内镜检查和/或计算机断层扫描发现鼻中隔与一个或多个鼻甲之间存在接触点。在进行功能性内镜鼻窦手术以解除这些接触点后，对这些患者进行了访谈，询问他们术前和术后头痛的强度和频率，以及慢性鼻窦炎和头痛对手术的总体反应，平均随访期为13.9个月。术后，分别有91%和85%的患者头痛强度和频率降低。这项研究表明，接触点性头痛的手术治疗可对儿童和成人的头痛症状产生显著影响。
