Craniofacial pain and anatomical abnormalities of the nasal cavities

Mendonça, Jeferson Cedaro de; Filho, Ivo Bussoloti

doi:10.1016/s1808-8694(15)31211-8

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…[14] The sensory innervations from the areas of the sinuses and nasal mucosa are provided by branches of the trigeminal nerve. [15] These changes can trigger the trigeminovascular system, which receives sensations from these areas, thus causing a headache. The ethmoidal artery has close relation with ethmoidal cells.…”

Section: Discussionmentioning

confidence: 99%

Headache associated with airplane travel: A rare entity

Cherian

Mathew²,

Iype

et al. 2013

Neurol India

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Airplane travel headache is rare and has recently been described as a new form of headache associated with a specific situation. Of the 1,208 patients with primary headaches attending a tertiary care neurology hospital, two (0.16%) patients satisfied the criteria for headache related to airplane travel. Both the patients fulfilled the proposed diagnostic criteria for airplane travel headache. This unique headache had a mean duration of 24 minutes, localized to the medial supraorbital region described as having an intense jabbing or stabbing character that occurred exclusively and maximally during aircraft landing or take-off, following which pain intensity subsided . This rare headache felt on aircraft descent is probably due to the squeeze effect on the frontal sinus wall, when air trapped inside it contracts producing a negative pressure leading to mucosal edema, transudation and intense pain. Use of nasal decongestants either alone or in combination with naproxen sodium prior to ascent and descent abated the headache episodes. Awareness about this unique entity is essential to provide proper treatment and avoid patient suffering.

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Section: Discussionmentioning

confidence: 99%

Headache associated with airplane travel: A rare entity

Cherian

Mathew²,

Iype

et al. 2013

Neurol India

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“…At the same time, it was reported that low rate of humidity in planes can cause partial dryness in the eyes, mucous membranes, and skin of the passengers (19,20). The sensory innervations of the areas of the sinuses and nasal mucosa are provided by branches of the trigeminal nerve (21). The sensory conduction of ethmoid cells and middle turbinate is ensured by ethmoid and trochlear nerves, which are branches of the trigeminal nerve (21,22).…”

Section: Discussionmentioning

confidence: 99%

“…The sensory innervations of the areas of the sinuses and nasal mucosa are provided by branches of the trigeminal nerve (21). The sensory conduction of ethmoid cells and middle turbinate is ensured by ethmoid and trochlear nerves, which are branches of the trigeminal nerve (21,22). It has been reported that the stimulation of these areas resulted in the development of headache in supraorbital and temporal-zygomatic sites (21–23).…”

Section: Discussionmentioning

confidence: 99%

“…The sensory conduction of ethmoid cells and middle turbinate is ensured by ethmoid and trochlear nerves, which are branches of the trigeminal nerve (21,22). It has been reported that the stimulation of these areas resulted in the development of headache in supraorbital and temporal-zygomatic sites (21–23). Since all the above-mentioned changes may affect the sinuses and nasal mucosa, we believe that these changes can trigger the trigeminovascular system, which receives the sensations of these areas, thereby causing a headache.…”

Section: Discussionmentioning

confidence: 99%

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A new type of headache, headache associated with airplane travel: Preliminary diagnostic criteria and possible mechanisms of aetiopathogenesis

Berilgen

Müngen

2011

Cephalalgia

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External Nasal Neuralgia: an Update

Nierenburg

Morris

2017

Curr Pain Headache Rep

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Etiology has been documented as post-traumatic due to direct trauma to the nose area and in few case reports, idiopathic. Sensory innervation of the nose arises from the ophthalmic and maxillary divisions of the trigeminal nerve. Direct injury to the nerve appears to be the etiology of post-traumatic external nasal neuralgia. Pathophysiology for idiopathic nasal neuralgia is poorly understood but it appears to be of a central etiology given lack of response to intranasal anesthetics. Pain can be episodic with episodes of tingling sensation lasting up to 30 min, two to three times per day, but for some patients it can be constant bruised sensation of mild to moderate pain. Diagnostic workup including magnetic resonance imaging of brain and computerized tomography of the sinuses are usually negative, but there have been few cases of a nasal contact point. Routine blood work including erythrocyte sedimentation rate is negative. Treatment for this rare condition is varied with very few patients responding to tricyclic antidepressants, specifically amitriptyline. Another medication used as prevention is pregabalin with good results as well. Most patients respond to nerve blockade with local anesthetic to the external nasal nerve and sphenopalatine ganglion block and radiofrequency ablation. More reports of this condition need to be published in the scientific literature to assist with proper diagnosis and treatment of this condition.

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Craniofacial pain and anatomical abnormalities of the nasal cavities

Cited by 7 publications

References 19 publications

Headache associated with airplane travel: A rare entity

Headache associated with airplane travel: A rare entity

A new type of headache, headache associated with airplane travel: Preliminary diagnostic criteria and possible mechanisms of aetiopathogenesis

External Nasal Neuralgia: an Update

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