Surgical Outcomes for Rhinogenic Contact Point Headaches

Abstract

Objective: To evaluate the surgical outcome in patients diagnosed as having rhinogenic contact point headaches (RCPH). Subjects and Methods: Thirty-six patients (aged 17–58 years) with RCPH underwent mini functional endoscopic sinus surgery procedures. Patients’ pain complaints were evaluated with a visual analog scale (VAS) both pre- and postoperatively. Results: All patients reported a decrease in the intensity of pain postoperatively. Nineteen patients (52.7%) reported complete relief. The difference between the preoperative (mean 8.62) and postoperative VAS pain scores (mean 2.11) was statistically very significant (p = 0.0000). No major complications were encountered. Conclusion: The removal of contact points in patients with RCPH is very effective in carefully selected patients.

Use of CT to evaluate and compare intranasal features in brachycephalic and normocephalic dogs

“…Nasal mucosal contact points may contribute to airflow resistance and these contact points are more prevalent in brachycephalic dogs (Schuenemann & Oechtering ,). In humans, nasal mucosal contact points are frequently associated with nasal blockage and reduction in olfactory sensation and they may additionally be associated with contact‐point headaches (Bieger‐Farhan et al , Behin et al , Bektas et al , Moche & Palmer , Harrison & Jones , Roozbahany & Nasri , Sadeghi et al , Kim ). Multiple anatomical variations of nasal contact points exist in humans and in order to establish a proper therapeutic plan, an individualised thorough assessment combining clinical history, patient examination, computed tomography (CT) imaging and endoscopy is ideal (Roozbahany & Nasri ).…”

The Outcome of Surgical Management of Concha Bullosa in Patients with Headache

“…So in our study we have 17 (85%) patients responded to surgery but only 3 patients with poor response (15%). The post-operative improvement was statistically highly significant as the p value was 0.003 calculated by binomial method [4][5][6][7]. In our study all those with complete response to xylocaine test had complete relieve of headache, and those with no improvement in their headache had partial response to xylocaine test, indicating that the xylocaine test is good prognostic indicator.…”

Middle Turbinate Evacuation Conchoplasty in Management of Contact-Point Rhinogenic Headache in Children

“…In 1997, Clerico et al [31] have reported results from 19 patients treated surgically for refractory primary headaches during a mean follow-up period of 21 months and the success rate was 79%. However, success rates of almost 90% have been reported for shorter follow-up periods of about 13 months [1,32,39], while after a follow-up period of 2 years, Welge-Luessen et al [34] showed an 85% success rate among their patients of which 60% were completely free of pain and 25% experienced a significant improvement. This rate decreased to 65%, with only six patients being free of symptoms after 10 years.…”