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Surgery for Rhinosinusitis and Rhinogenic Headache

  • Baharudin AbdullahEmail author
  • Norhafiza Mat Lazim
  • Zul Izhar
  • Jeyasakthy Saniasiaya
Chapter

Abstract

There are many causes of headache. One of the underestimated causes is rhinogenic in origin. Sinonasal inflammatory conditions, anatomical variations and severe allergic conditions might give rise to headache. In the absence of these conditions, rhinogenic headache should be suspected. Rhinogenic headache is a headache secondary to mucosal contact points in the nose or sinus cavities in the absence of inflammatory sinonasal conditions, purulent discharge, sinonasal polyps, sinonasal masses or hyperplastic mucosa. When patients suspected of having migrainous headache failed medical therapy, rhinogenic headache should be considered. Assessments include careful history taking, nasoendoscopic examination and imaging. Surgical therapies indicated include endoscopic sinus surgery, endoscopic septoplasty and endoscopic turbinoplasty.

Keywords

Rhinosinusitis Endoscopic sinus surgery Rhinogenic headache Deviated nasal septum Septoplasty Turbinate hypertrophy Turbinoplasty 

References

  1. 1.
    Mehle ME, Kremer PS. Sinus CT scan findings in “sinus headache” migraineurs. Headache. 2008;48:67–71.PubMedGoogle Scholar
  2. 2.
    Zabrina MS, Baharudin A. Rhinogenic headache: a frequent cause of misdiagnosis. Pan Arab J Rhinol. 2017;7:1–6.Google Scholar
  3. 3.
    Stammberger H, Wolfe G. Headaches and sinus disease: the endoscopic approach. Ann Otol Rhinol Laryngol Suppl. 1998;134:3–23.Google Scholar
  4. 4.
    Standring S. Nose, nasal cavity, paranasal sinuses and pterygopalatine fossa. In: Standring S, editor. Gray’s anatomy—the anatomical basis of clinical practice. 40th ed. New York: Elsevier Churchill Livingstone; 2009. p. 567–79.Google Scholar
  5. 5.
    Shah J, Roxbury CR, Techniques in Septoplasty SR. Traditional versus endoscopic approaches (Review). Otolaryngol Clin N Am. 2018;15:909–17.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Baharudin Abdullah
    • 1
    Email author
  • Norhafiza Mat Lazim
    • 1
  • Zul Izhar
    • 2
  • Jeyasakthy Saniasiaya
    • 3
  1. 1.Department of Otorhinolaryngology-Head and Neck SurgerySchool of Medical Sciences, Universiti Sains Malaysia Health CampusKubang KerianMalaysia
  2. 2.Department of AnatomySchool of Medical Sciences, Universiti Sains Malaysia Health CampusKubang KerianMalaysia
  3. 3.Department of OtorhinolaryngologyHospital Tuanku JaafarSerembanMalaysia

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