A Case of Mucosal Contact Point Headache Caused by Septal Spur.
10.3342/kjorl-hns.2014.57.6.407
- Author:
Wonwoo CHO
1
;
Tae Won EOM
;
Jeong Hong KIM
Author Information
1. Medical Course, Jeju National University School of Medicine, Jeju, Korea.
- Publication Type:Case Report
- Keywords:
Headache;
Mucosal contact point;
Septal spur
- MeSH:
Congenital Abnormalities;
Diagnosis;
Headache*;
Humans;
Hypertrophy;
Nasal Cavity;
Pain, Referred;
Trigeminal Nerve;
Turbinates
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2014;57(6):407-410
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Headaches attributed to disorders of the sinonasal region make their diagnosis and treatment sometimes challenging. Contact point between opposing mucosal surfaces in the nasal cavity can cause headache by a mechanism of referred pain in the distribution of trigeminal nerve. The most common anatomic abnormality of intranasal contact point is the diverse pattern of septal deviation in association with turbinate deformity or hypertrophy. In the absence of other pathological findings, the evaluation for intranasal contact points should be considered. We herein report that a patient, suffering from headache and periorbital pain refractory to medical treatment, experienced a complete abolition of pain after surgical correction of mucosal contact point in the nasal cavity.