Nasal mucosal contact point headache: a clinical analysis of 29 cases
10.3760/cma.j.issn.1671-8925.2011.07.019
- VernacularTitle:鼻腔黏膜接触点性头痛29例临床分析
- Author:
Hong-Zheng ZHANG
1
;
Min-Qiang XIE
Author Information
1. 南方医科大学珠江医院
- Keywords:
Headache;
Nasal endoscopic surgery;
Anatomy
- From:
Chinese Journal of Neuromedicine
2011;10(7):724-727
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the intranasal anatomic abnormalities and clinical features of mucosal contact point headache, as well as the outcomes of endoscopic surgery. Methods The clinical data of 29 patients with mucosal contact point headache, received treatment in our hospital from October 2008 and May 2010, were reviewed retrospectively. All cases received CT scans, endoscope examinations and local anesthesia tests. Endoscopic surgery was performed to correct the contact points for these cases. They were followed-up for at least 1 year; and the changes of intensity, duration and frequency of headache of these patients were observed. Results Most common anatomic abnormalities included septal spurs in contact with the turbinates, uncinate process hypertrophy,pneumatized middle turbinates, abnormal curve of middle turbinate and large ethmoid bulla. The intensity, duration and frequency of headache after surgery decreased significantly as compared with those before the surgery (P<0.05). Nineteen of the 29 patients (65.52%) got benefits from surgical intervention, and 8 patients (27.59%) had complete relief of headache. Pain was the same as before the surgery in 10 cases (34.48%) in the follow-up period. Conclusion Intranasal contact points must be considered in patients who have no other obvious cause of headache. Significant relief of headache can be obtained by endoscopic surgery in selected cases.
