Prospective Study on the Characteristics and Postoperative Improvement of Rhinogenic Headache

위지혜                                    /Wee Jee Hye; 이지은; 홍성룡; 김동영; 신재민

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자료유형: 학술저널

저자정보: 위지혜 /Wee Jee Hye 이지은 홍성룡 김동영 신재민

저널정보: 대한비과학회 Journal of Rhinology Journal of Rhinology Vol.22 No.1

발행연도: 2015.1

수록면: 6 - 10 (5page)

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Background and Objectives：Headache secondary to sinonasal disease can improve after surgery, but few prospective studies have investigated this outcome. We aimed to evaluate the characteristics of headaches, such as clinical features, underlying disease, and postoperative improvement in patients who underwent nasal surgery, and to identify the characteristics that reliably predict rhinogenic headache. Materials and Method：Of 356 patients who underwent nasal surgery between March and December 2009, 41 patients with headaches were enrolled in this prospective study. Clinical features of headache, such as onset, time of day, duration, frequency, nature, side and location, existence of aura, aggravating and relieving factors and accompanying nasal symptoms, underlying diseases, endoscopic findings, and computed tomography scans of the paranasal sinuses were evaluated. Headache intensity was graded based on a 10-point visual analog scale (VAS) pre- and post-operatively. Results：The most common characteristics of rhinogenic headache included a stabbing or squeezing nature, frontal area location, accompanying nasal obstruction or rhinorrhea, and underlying sinusitis or septal deviation. The subjective intensity of the headache, measured using the VAS score, improved in 80% (33/41) of the patients after surgery. Conclusion：Nasal surgery should be considered when rhinogenic headache is suspected and there are definite nasal pathologies.

#HeadacheㆍNasal diseaseㆍProspective studyㆍNasal surgeryㆍPostoperative pain.

참고문헌 (18)

참고문헌 신청

Cady RK / 2005 / Sinus headache: A neurology, otolaryngology, allergy, and primary care consensus on diagnosis and treatment / Mayo Clin Proc 80:908~916

정승규 / 2012 / 부비동과 연관된 두통과 안면통 / Journal of Rhinology 19(2):8~11

Mariotti LJ / 2009 / Patient history and CT findings in predicting surgical outcomes for patients with rhinogenic headache / Ear Nose Throat J 88:926~929

Lund VJ / 1993 / Staging in rhinosinusitus / Rhinology 31:183~184

Blumenthal HJ / 2001 / Headaches and sinus disease / Headache 41:883~888

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