Centripetal endoscopic sinus surgery in rhinogenic headache
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Le résumé fourni par la source
OBJECTIVES: The aim of this manuscript is to analyse a diagnostic protocol to select correctly patients with Rhinogenic Headache Contact Point (RH) and to investigate the effect of surgical treatment and medical therapy in pain relief. METHODS: A prospective no-randomized study selected adult patients with headache and nasal alteration at CT exam or endoscopic vision with positive response to test with nasal spray with corticosteroids and antihistamine or/and local anesthesia test to the contact points. MIDAS score, intensity score, daily duration of symptoms, frequency of headache in the last month were collected in patients who performed surgery and in patients who performed medical therapy. RESULTS: Following the inclusion, 415 patients were selected for this study. 302 patients performed nasal surgery (septoplasty, turbinoplasty and/or endoscopic surgery with centripetal technique), 113 performed medical therapy. There was a statistically significant improvement in MIDAS score, intensity score, daily duration of symptoms, frequency of headache in the last month in patients who performed surgery and in patients who performed medical therapy. Regarding the comparison between patients who performed surgery (Group A) and patients who performed only medical therapy for RH (Group B), better outcomes were obtained by Group A. Considering the daily life handicap index, the lowest handicap was obtained in Group A. CONCLUSION: This study demonstrates that surgery, using in some cases centripetal technique, gives an improvement statistically significant than medical therapy in RH. The use of nasal spray with corticosteroids and with anti-histamine is a good method in the diagnosis of RH, especially in patients with anatomical variants such as concha bullosa, agger nasi cells and Haller cells.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Centripetal endoscopic sinus surgery in rhinogenic headache
- Date Crossref
- 01/11/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Azienda Ospedaliera Ospedali Riuniti Papardo Piemonte pays non établi dans la noticeÉtablissement de santé
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Sapienza University of Rome pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo pays non établi dans la noticeÉtablissement de santé
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University of Palermo Department of Biomedicine pays non établi dans la noticeUniversité ou école supérieure
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Unit of Otorhinolaryngology AO Papardo pays non établi dans la noticeOrganisation à but non lucratif
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"Sapienza" University of Rome Department of Sensorial Organs pays non établi dans la noticeUniversité ou école supérieure
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Department of Otorhinolaryngology pays non établi dans la noticeOrganisation à but non lucratif
Azienda Ospedaliera Ospedali Riuniti Papardo Piemonte, Sapienza University of Rome et Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.