Abstract
Objective: to determine the prevalence of anatomical abnormalities of nose and PNS in cases suffering from rhinogenic headache among Sohag University students seeking health services in the ENT outpatient clinic of the Student Hospital in Sohag University along the period starting Oct. 2017 till June 2019.
Study design: Across sectional study
Results: 104 students -(59.6 %) females- were enrolled in the study, inhabiting rural and/or slum areas of Sohag (69.2 %). They had a narrow range of ages; 19 – 23 years; X` = 20.13 ± 1.25 years. Frontal site of headache predominated, then the nasal site. These followed by periorbital, tempo parietal, temporal and scalp regions respectively in 32.7, 25, 17.3, 11.5, 7.7 and 5.8 % of the rhinogenic cases. Each attack lasted 3.27± 1.76 days duration with maximum 7 days. Prevalence of rhinogenic headache due to anatomical abnormalities was (26.9 %). over the frontal, glabellar and periorbital regions. A highly significant statistical difference between cases of rhinogenic headache with anatomical abnormalities and those without anatomical abnormalities (p = .004) regarding how the headache was presented; Heaviness (16.2 %), pressure (81 %) and dullness (2.7 %) were the type of such headache. It was found that most of the cases have combined abnormalities.
DNS affected 16 cases (43.2 %), a manifestation of concha bellosa in 9 cases(24.3%), bilateral inferior turbinate hypertrophy appeared in 10 cases(27%) . Haller cells was detected in about ( 1.9 % )of the anatomical abnormalities also.