Surgical Management of Contact Point Headaches
Introduction.—Contact point headaches are caused by contact between the nasal septum and the lateral nasal wall by a mechanism of referred pain involving the trigeminal nerve. Our goal was to investigate headaches caused by the contact between the septum and the superior turbinate or medial wall of...
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| Veröffentlicht in: | Headache 2005-03, Vol.45 (3), p.204-210 |
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| description | Introduction.—Contact point headaches are caused by contact between the nasal septum and the lateral nasal wall by a mechanism of referred pain involving the trigeminal nerve. Our goal was to investigate headaches caused by the contact between the septum and the superior turbinate or medial wall of the ethmoid sinuses and not the middle turbinate.
Materials and Methods.—A retrospective chart review was performed on patients who underwent septoplasty and sinus surgery for headache. The total number of patients who opted for surgery was 23. Only 12 patients met the criteria of having a contact point between the septum and medial wall of the ethmoid sinus, or septum and superior turbinate, which were demonstrated via CT scan of the sinuses. These patients underwent surgical intervention in order to relieve the contact points.
Results.—According to the same pain questionnaire given pre‐ and postoperatively, 83% no longer complained of headaches, while 8% had significant relief. Forty‐one percent of our patients were previously diagnosed with migraines; 80% of these patients were successfully treated by surgery.
Discussions.—Contact point headaches and migraine without aura (MWOA) have similar symptoms (eg, photophobia, phonophobia, nausea and vomiting, pulsating nature). We believe contact point headaches should be considered in the patient with a diagnosis of MWOA headaches. |
| doi_str_mv | 10.1111/j.1526-4610.2005.05045.x |
| format | Article |
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Materials and Methods.—A retrospective chart review was performed on patients who underwent septoplasty and sinus surgery for headache. The total number of patients who opted for surgery was 23. Only 12 patients met the criteria of having a contact point between the septum and medial wall of the ethmoid sinus, or septum and superior turbinate, which were demonstrated via CT scan of the sinuses. These patients underwent surgical intervention in order to relieve the contact points.
Results.—According to the same pain questionnaire given pre‐ and postoperatively, 83% no longer complained of headaches, while 8% had significant relief. Forty‐one percent of our patients were previously diagnosed with migraines; 80% of these patients were successfully treated by surgery.
Discussions.—Contact point headaches and migraine without aura (MWOA) have similar symptoms (eg, photophobia, phonophobia, nausea and vomiting, pulsating nature). We believe contact point headaches should be considered in the patient with a diagnosis of MWOA headaches.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/j.1526-4610.2005.05045.x</identifier><identifier>PMID: 15836593</identifier><identifier>CODEN: HEADAE</identifier><language>eng</language><publisher>350 Main Street , Malden , MA 02148 , USA: Blackwell Science Inc</publisher><subject>Biological and medical sciences ; contact point headaches ; Diagnosis, Differential ; Ethmoid Sinus - diagnostic imaging ; Ethmoid Sinus - surgery ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Headache - diagnosis ; Headache - etiology ; Headache - surgery ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Medical sciences ; Migraine without Aura - diagnosis ; Nasal Septum - diagnostic imaging ; Nasal Septum - surgery ; Nervous system (semeiology, syndromes) ; Neurology ; Pressure ; Retrospective Studies ; sinus headaches ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Tomography, X-Ray Computed ; Turbinates - diagnostic imaging ; Turbinates - surgery ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Headache, 2005-03, Vol.45 (3), p.204-210</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3855-49cf05f7af5040ac4b475305c684c835880a26d89159f2b704d8acf95b17b6aa3</citedby><cites>FETCH-LOGICAL-c3855-49cf05f7af5040ac4b475305c684c835880a26d89159f2b704d8acf95b17b6aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1526-4610.2005.05045.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1526-4610.2005.05045.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16877150$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15836593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Behin, Fereidoon</creatorcontrib><creatorcontrib>Behin, Babak</creatorcontrib><creatorcontrib>Behin, Daniel</creatorcontrib><creatorcontrib>Baredes, Soly</creatorcontrib><title>Surgical Management of Contact Point Headaches</title><title>Headache</title><addtitle>Headache</addtitle><description>Introduction.—Contact point headaches are caused by contact between the nasal septum and the lateral nasal wall by a mechanism of referred pain involving the trigeminal nerve. Our goal was to investigate headaches caused by the contact between the septum and the superior turbinate or medial wall of the ethmoid sinuses and not the middle turbinate.
Materials and Methods.—A retrospective chart review was performed on patients who underwent septoplasty and sinus surgery for headache. The total number of patients who opted for surgery was 23. Only 12 patients met the criteria of having a contact point between the septum and medial wall of the ethmoid sinus, or septum and superior turbinate, which were demonstrated via CT scan of the sinuses. These patients underwent surgical intervention in order to relieve the contact points.
Results.—According to the same pain questionnaire given pre‐ and postoperatively, 83% no longer complained of headaches, while 8% had significant relief. Forty‐one percent of our patients were previously diagnosed with migraines; 80% of these patients were successfully treated by surgery.
Discussions.—Contact point headaches and migraine without aura (MWOA) have similar symptoms (eg, photophobia, phonophobia, nausea and vomiting, pulsating nature). We believe contact point headaches should be considered in the patient with a diagnosis of MWOA headaches.</description><subject>Biological and medical sciences</subject><subject>contact point headaches</subject><subject>Diagnosis, Differential</subject><subject>Ethmoid Sinus - diagnostic imaging</subject><subject>Ethmoid Sinus - surgery</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Headache - diagnosis</subject><subject>Headache - etiology</subject><subject>Headache - surgery</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Migraine without Aura - diagnosis</subject><subject>Nasal Septum - diagnostic imaging</subject><subject>Nasal Septum - surgery</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pressure</subject><subject>Retrospective Studies</subject><subject>sinus headaches</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Tomography, X-Ray Computed</subject><subject>Turbinates - diagnostic imaging</subject><subject>Turbinates - surgery</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi1ERZfCX0C5gLgkjBOPP06oWkoX1C1IFHG0Jl67ZMkmJc6K7b_H6a7aW1VfbI2feWf0MJZxKHg6H9YFx1LmQqZCCYAFIAgsds_Y7P7jOZsBcJVrJfQxexnjGgCENPIFO-aoK4mmmrHix3a4bhy12ZI6uvYb341ZH7J5343kxux736TCwtOK3G8fX7GjQG30rw_3Cfv5-exqvsgvvp1_mZ9e5K7SiLkwLgAGRSHtBeRELRRWgE5q4XSFWgOVcqUNRxPKWoFYaXLBYM1VLYmqE_Zun3sz9H-3Po5200Tn25Y632-jlUohFwIT-P5RkKMEzoUxkFC9R93Qxzj4YG-GZkPDreVgJ612bSd7drJnJ632TqvdpdY3hynbeuNXD40Hjwl4ewAoJplhoM418YGTWimO0w4f99y_pvW3T17ALs5OP929U0K-T2ji6Hf3CTT8SVIqhfbX5bk1y2WJ8uuVXVb_AbAMn4I</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Behin, Fereidoon</creator><creator>Behin, Babak</creator><creator>Behin, Daniel</creator><creator>Baredes, Soly</creator><general>Blackwell Science Inc</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200503</creationdate><title>Surgical Management of Contact Point Headaches</title><author>Behin, Fereidoon ; Behin, Babak ; Behin, Daniel ; Baredes, Soly</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3855-49cf05f7af5040ac4b475305c684c835880a26d89159f2b704d8acf95b17b6aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>contact point headaches</topic><topic>Diagnosis, Differential</topic><topic>Ethmoid Sinus - diagnostic imaging</topic><topic>Ethmoid Sinus - surgery</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Headache - diagnosis</topic><topic>Headache - etiology</topic><topic>Headache - surgery</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Migraine without Aura - diagnosis</topic><topic>Nasal Septum - diagnostic imaging</topic><topic>Nasal Septum - surgery</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pressure</topic><topic>Retrospective Studies</topic><topic>sinus headaches</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Tomography, X-Ray Computed</topic><topic>Turbinates - diagnostic imaging</topic><topic>Turbinates - surgery</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Behin, Fereidoon</creatorcontrib><creatorcontrib>Behin, Babak</creatorcontrib><creatorcontrib>Behin, Daniel</creatorcontrib><creatorcontrib>Baredes, Soly</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Behin, Fereidoon</au><au>Behin, Babak</au><au>Behin, Daniel</au><au>Baredes, Soly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Management of Contact Point Headaches</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2005-03</date><risdate>2005</risdate><volume>45</volume><issue>3</issue><spage>204</spage><epage>210</epage><pages>204-210</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><coden>HEADAE</coden><abstract>Introduction.—Contact point headaches are caused by contact between the nasal septum and the lateral nasal wall by a mechanism of referred pain involving the trigeminal nerve. Our goal was to investigate headaches caused by the contact between the septum and the superior turbinate or medial wall of the ethmoid sinuses and not the middle turbinate.
Materials and Methods.—A retrospective chart review was performed on patients who underwent septoplasty and sinus surgery for headache. The total number of patients who opted for surgery was 23. Only 12 patients met the criteria of having a contact point between the septum and medial wall of the ethmoid sinus, or septum and superior turbinate, which were demonstrated via CT scan of the sinuses. These patients underwent surgical intervention in order to relieve the contact points.
Results.—According to the same pain questionnaire given pre‐ and postoperatively, 83% no longer complained of headaches, while 8% had significant relief. Forty‐one percent of our patients were previously diagnosed with migraines; 80% of these patients were successfully treated by surgery.
Discussions.—Contact point headaches and migraine without aura (MWOA) have similar symptoms (eg, photophobia, phonophobia, nausea and vomiting, pulsating nature). We believe contact point headaches should be considered in the patient with a diagnosis of MWOA headaches.</abstract><cop>350 Main Street , Malden , MA 02148 , USA</cop><pub>Blackwell Science Inc</pub><pmid>15836593</pmid><doi>10.1111/j.1526-4610.2005.05045.x</doi><tpages>7</tpages></addata></record> |
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| subjects | Biological and medical sciences contact point headaches Diagnosis, Differential Ethmoid Sinus - diagnostic imaging Ethmoid Sinus - surgery Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Headache - diagnosis Headache - etiology Headache - surgery Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Medical sciences Migraine without Aura - diagnosis Nasal Septum - diagnostic imaging Nasal Septum - surgery Nervous system (semeiology, syndromes) Neurology Pressure Retrospective Studies sinus headaches Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Tomography, X-Ray Computed Turbinates - diagnostic imaging Turbinates - surgery Vascular diseases and vascular malformations of the nervous system |
| title | Surgical Management of Contact Point Headaches |
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