Background:
ABSTRACT
Background:
There are numerous causes for headache due to underlying local and systemic disorders. A rhinogenic headache that is studied here is a pain of the face and head caused by an intranasal contact mucosal point without any inflammation or tumour.
Objective: assessment the value of endoscopic septoturbinal surgery in management of contact mucosal points
Patients and methods : This a prospective cohort study done on 30 patients between May 2020 to June 2021 ,who had rhinogenic headache and did not had any nasal or paranasal sinus pathology nor other local or systemic causes were included in our study. Nasal endoscopy,xylocaine and computed tomography(CT) were used to confirm the presence of mucosal contact .The study done on 30 patients ,the visual analogue scale (VAS) was used to assess the severity of headache at the time of diagnosis and after 3 months of the endoscopic surgery and the results were compared.
Results: The most common cause of contact mucosal headache was the deviated septum with hypertrophied inferior turbinate 43.3% ,hypertrophied middle turbinate26.7% , deviated septum with hypertrophied superior turbinate 13.3%, deviated septum with septal spur10%,deviated septum with hypertrophied middle turbinate 3.3%, hypertrophied inferior and middle turbinate 3.3%. The (VAS) had significant statistical improvement from mean 7.6 at the time of diagnosis and changed into 1.8 after 6 months of the endoscopic septoturbinal surgery postoperatively.
Conclusion: In patients with rhinogenic headache caused by contact mucosal points, endoscopic surgical treatment yields a better results