Rhinogenic Contact Point Research Articles

Nasal and paranasal sinus anatomical variations in patients with rhinogenic contact point headache

To define anatomical variations that may lead to rhinogenic contact point headache. Paranasal sinuses CT scan and medical records of sixty-five patients who underwent a successful endoscopic surgery for rhinogenic contact point headache reviewed. Eleven distinct anatomical variations were found in patients with rhinogenic contact point headache. All of them were surgically curable. There are multiple anatomical situations that may lead to rhinogenic contact point headache and each one has its own characteristics. Treatment plan should be personalized for every patient considering the diagnosed anatomical variation.

Surgical Outcomes for Rhinogenic Contact Point Headaches

Objective: To evaluate the surgical outcome in patients diagnosed as having rhinogenic contact point headaches (RCPH). Subjects and Methods: Thirty-six patients (aged 17–58 years) with RCPH underwent mini functional endoscopic sinus surgery procedures. Patients’ pain complaints were evaluated with a visual analog scale (VAS) both pre- and postoperatively. Results: All patients reported a decrease in the intensity of pain postoperatively. Nineteen patients (52.7%) reported complete relief. The difference between the preoperative (mean 8.62) and postoperative VAS pain scores (mean 2.11) was statistically very significant (p = 0.0000). No major complications were encountered. Conclusion: The removal of contact points in patients with RCPH is very effective in carefully selected patients.