Background: Chronic rhinosinusitis (CRS) is a persistent inflammatory disease. The pathogenesis of CRS involves many factors including genetics, status of the sinonasal microbiome, infections, and environmental influences.
Aim of the study :To monitor the outcome of sinus surgery and to evaluate headache severity, duration, and frequency.
Patients and methods: A prospective study was conducted at Al-Azhar University Hospital. We targeted 60 patients belonging to both sexes aged between 18 and 65 years. Divided into 3 groups: Group (1): Chronic Rhinosinusitis with or without concha bullosa, Group (2): Chronic Rhinosinusitis with or without hypertrophy turbinate, and Group (3): Chronic Rhinosinusitis with or without deviated septum.
Result:A total of 60 patients, significant difference found regarding nasal obstruction between the groups.Based on Visual Analogue Scale (VAS), the intensity of pain in the group1revealed a highreduction from 6.25 ± 1.87 (Preoperative) to 2.88 ± 1.01 (3 months aftertreatment) and 1.54 ± 1.21 (6 months after treatment). In group 2 the intensity of pain revealed a high reduction from 5.87 ± 0.911 (Preoperative) to 3.01 ± 1.39 (3 months after treatment) and 1.33 ± 0.935 (6 months after treatment). In group 3 the intensity of pain revealed a high reduction from 6.48 ± 1.72 (Preoperative) to 2.51 ± 0.993 (3 months after treatment) and 1.59 ± 1.13 (6 months after treatment)
Conclusion: Surgical removal of contact points in the nasal cavity can be effective in treating the headache. Contact point headache has the highest severity, duration, and frequency.