Nose Surgery

  • Thomas Muehlberger


Contact points between opposing mucosal surfaces in the nose are a target of the surgical treatment of migraine headaches. Yet, contradictory reports exist on the role of nasal pathology in the pathogenesis of migraines. Contact points are highly prevalent in migraine patients and healthy subjects. Although a contact point does not cause migraines where the disease doesn’t preexist, the concomitant presence of migraine and contact points can play an important part in modulating the trigeminal afferent signaling to the brain and can thereby trigger an attack. The coexistence of rhinological disorders can be an impediment in defining cause and effect of anatomical variants. Because of that, it is necessary to differentiate or exclude a rhinological disorder. The surgical removal of intranasal contact points is an example of the relevance of extracranial structures in the pathogenesis of migraines.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Thomas Muehlberger
    • 1
  1. 1.Medsteps AGChamSwitzerland

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