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Corresponding Author

eloby, mohamed

Abstract

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.

Article Type

Editorial letter and opinion

Keywords

Chronic Rhinosinusitis; rhinogenic headache; sinus surgery

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