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Directed Functional Endoscopic Sinus Surgery and Headaches
Arch Otolaryngol Head Neck Surg. 2000;126:1274-1276.
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Hypothesis
Limited functional endoscopic sinus surgery has a good chance of curing headache in the patient who has frontal and/or retro-orbital headaches, mild mucosal edema on endoscopy, and a normal sinus computed tomographic (CT) scan.
BACKGROUND
In considering the relationship of sinus disease and headaches, Stammberger and Wolf1 divide headache patients into 3 groups. One group has headaches specifically linked to sinonasal abnormalities, such as inflammatory disease, neoplasm, barotrauma, or other readily identifiable causes. A second group has headaches unrelated to sinus causes, such as migraines, neuralgias, ophthalmologic problems, and vascular problems. The third group has no clear cause for their headaches, and a sinus origin cannot be clearly identified. This third group poses a challenge for otolaryngologists and is the subject of this report.
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In the late 1800s and early 1900s, reports described patients with headaches that were relieved by a surgical procedure on the nose, sinuses, . . . [Full Text of this Article]
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