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299102

Effect of Endoscopic Lateral Lamellectomy in Concha Bullosa Induced Rhinogenic Headache

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

Otolaryngology including ear, nose and throat diseases

Abstract

Purpose: To assess the effect of surgical intervention (endoscopic lateral lamellectomy) in relieving the contact point headache induced by Concha bullosa.  Patients and Methods: 20 patients with persistant headache for one year or more presented in the period from June 2018 to February 2020. Surgical intervention was done according to C.T nose and paranasal sinuses in each case , bilateral endoscopic lateral lamellectomy was done in 35%, unilateral endoscopic lateral lamellectomy in 65%.  Results: In the current study, and according to MIDAS score of headache there was 10% of patient with mild disability (MIDAS Grade II), 50% with moderate disability (MIDAS Grade III) and 40% with sever disability (MIDAS Grade IV) preoperatively, MIDAS score ranged from 8-39 with mean score of 20.3 ± 8.89. 3 months postoperatively all the patients were with little or no disability (MIDAS Grade I), MIDAS score ranged from 0-4 with mean score of 1.7 ± 1.21, the p value is <0.001.  Conclusion: Concha bullosa is considered one of the most important factors in the development of contact point rhinogenic headache and this headache can be cured or significantly improved after endoscopic lateral lamellectomy with no or minimal complications providing that accurate selection of the patients and skilled surgeon.

DOI

10.21608/ejentas.2022.84272.1391

Keywords

Concha-bullosa, headache, lateral-lamellectomy, sinus

Authors

First Name

Mostafa

Last Name

Talaat

MiddleName

-

Affiliation

ENT minia university

Email

mostafatalaat1981@gmail.com

City

minia

Orcid

-

First Name

Ihab

Last Name

Nada

MiddleName

-

Affiliation

Otolaryngology Department, Faculty of Medicine, Misr University for Science and Technology, Egypt

Email

ihab.nada@yahoo.com

City

Gixza

Orcid

-

First Name

AbdelMoneim

Last Name

Hamad

MiddleName

Hany

Affiliation

ENT minia university

Email

abd.monem.ent@gmail.com

City

minia

Orcid

-

Volume

24

Article Issue

24

Related Issue

39139

Issue Date

2023-01-01

Receive Date

2021-07-05

Publish Date

2023-01-01

Page Start

1

Page End

9

Print ISSN

2090-0740

Online ISSN

2090-3405

Link

https://ejentas.journals.ekb.eg/article_299102.html

Detail API

https://ejentas.journals.ekb.eg/service?article_code=299102

Order

48

Type

Original Article

Type Code

467

Publication Type

Journal

Publication Title

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

Publication Link

https://ejentas.journals.ekb.eg/

MainTitle

Effect of Endoscopic Lateral Lamellectomy in Concha Bullosa Induced Rhinogenic Headache

Details

Type

Article

Created At

23 Dec 2024