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Arch Otolaryngol Head Neck Surg. 2000;126:1277-1278.

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

I agree with Becker and Cunning's overview of the issue of performing endoscopic sinus surgery on patients with headache. However, I feel that my experience can provide some additional perspective in dealing with these patients.

Figure appears in full text version. James A. Stankiewicz, MD

From the research side, there is no well-done study that targets the topic of endoscopic sinus surgery and headache. Only a few retrospective articles with small numbers of patients are available for evaluation. As outlined by Becker and Cunning, these articles include reports of patients with sinus pathologic conditions, migraines due to sinusitis, and, on rare occasions, individuals with headache, normal examination, and normal CT scans. Other studies comparing sinus anatomy and symptoms show no correlation between concha bullosa middle turbinate, paradoxical middle turbinate, septal deviation, and headache. Therefore, no conclusions or help can be found in the literature.

Most otolaryngologists have anecdotal reports of improving patients' headaches under the circumstances . . . [Full Text of this Article]

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