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Directed Functional Endoscopic Sinus Surgery and Headaches
Arch Otolaryngol Head Neck Surg. 2000;126:1278-1279.
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Becker and Cunning have written a balanced review of the available studies on directed endoscopic sinus surgery to relieve frontal and retro-orbital headaches. They conclude that if sinus abnormalities are present on endoscopy or CT (including contact spots), then endoscopic sinus surgery directed toward these abnormalities is more likely to result in headache relief than in the patient without demonstrable sinus or nasal pathologic findings. They caution that the physician's desire to perform endoscopic sinus surgery to help the patient who lacks sinonasal abnormalities must be pursued with the "knowledge that the chances of success are unclear at best."
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The topic that Becker and Cunning set out to review is a difficult one because of the lack of good data regarding this issue. There are no randomized prospective trials available on the subject of headaches or facial pain and its responsiveness to endoscopic sinus surgery in . . . [Full Text of this Article]
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