Introduction.Contact point headaches are caused by contact between the nasal s eptum and the lateral nasal wall by a mechanism of referred pain involving the t rigeminal nerve. Our goal was to investigate headaches ca...Introduction.Contact point headaches are caused by contact between the nasal s eptum and the lateral nasal wall by a mechanism of referred pain involving the t rigeminal nerve. Our goal was to investigate headaches caused by the contact bet ween the septum and the superior turbinate or medial wall of the ethmoid sinuses and not the middle turbinate. Materials and Methods.A retrospective chart revie w was performed on patients who underwent septoplasty and sinus surgery for head ache. The total number of patients who opted for surgery was 23. Only 12 patient s met the criteria of having a contact point between the septum and medial wall of the ethmoid sinus, or septumand superior turbinate, which were demonstrated v ia CT scan of the sinuses. These patients underwent surgical intervention in ord er to relieve the contact points. Results.According to the same pain questionnai re given pre-and postoperatively, 83%no longer complained of headaches, while 8%had significant relief. Forty-one percent of our patients were previously di agnosed with migraines; 80%of these patients were successfully treated by surge ry. Discussions.Contact point headaches and migraine without aura (MWOA) have si milar symptoms (eg,photophobia, phonophobia, nausea and vomiting, pulsating natu re).We believe contact point headaches should be considered in the patient with a diagnosis of MWOA headaches.展开更多
文摘Introduction.Contact point headaches are caused by contact between the nasal s eptum and the lateral nasal wall by a mechanism of referred pain involving the t rigeminal nerve. Our goal was to investigate headaches caused by the contact bet ween the septum and the superior turbinate or medial wall of the ethmoid sinuses and not the middle turbinate. Materials and Methods.A retrospective chart revie w was performed on patients who underwent septoplasty and sinus surgery for head ache. The total number of patients who opted for surgery was 23. Only 12 patient s met the criteria of having a contact point between the septum and medial wall of the ethmoid sinus, or septumand superior turbinate, which were demonstrated v ia CT scan of the sinuses. These patients underwent surgical intervention in ord er to relieve the contact points. Results.According to the same pain questionnai re given pre-and postoperatively, 83%no longer complained of headaches, while 8%had significant relief. Forty-one percent of our patients were previously di agnosed with migraines; 80%of these patients were successfully treated by surge ry. Discussions.Contact point headaches and migraine without aura (MWOA) have si milar symptoms (eg,photophobia, phonophobia, nausea and vomiting, pulsating natu re).We believe contact point headaches should be considered in the patient with a diagnosis of MWOA headaches.
