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  Vol. 126 No. 10, October 2000 TABLE OF CONTENTS
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  Clinical Challenges in Otolaryngology
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 •Headache
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Directed Functional Endoscopic Sinus Surgery and Headaches

Arch Otolaryngol Head Neck Surg. 2000;126:1274-1276.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.


 
Figure appears in full text version.
Devin M. Cunning, MD


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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