Original Research Article
Year: 2018 | Month: June | Volume: 5 | Issue: 6 | Pages: 1-8
Headache & Sinus Disease- A Clinical Study
Ziauddin Ahmad1, Himani2, Vinay Kumar Srivastava3
1Associate Professor, Department of Otorhinolaryngology, Major S. D. Singh Medical College & Hospital, Farrukhabad, India
2Assistant Professor, Department of Microbiology, K. D. Medical College Hospital & Research Center, Mathura
3Professor, Department of Psychiatry, K. D. Medical College Hospital & Research Center, Mathura, India
Corresponding Author: Vinay Kumar Srivastava
Introduction: Headache is considered as pain felt somewhere within the head. Classification of headache into superficial & deep types is helpful in locating the source of headache. Infections of the frontal, maxillary & sphenoid sinus can be accompanied by considerable pain, especially when their ostia are blocked and retention of secretion occurs, often giving rise to a pounding pain. The objective of this study was to obtain detailed history & conduct physical examination along with relevant investigations leading to formation of an appropriate headache diagnosis for the patients & provide them with treatment appropriate for the diagnosis.
Materials & methods: The present study has been conducted in 100 patients complaining of headache reporting either in OPD or admitted in the wards, Department of Otorhinolaryngology, Major S D Singh Medical College, Farrukhabad. The patients were subjected to detailed history taking & various investigations including the routine like hemogram, urine, fundus examination & specific like anterior & posterior rhinoscopy, transillumination test, radiological investigations like X-ray paranasal sinuses, X-ray skull & X-ray cervical spine.
Result: Follow up was possible only in 78 cases as the remainder did not turn up. Majority of the patients fell in the age group of 10-30 years. Amongst the predominant symptoms displayed by patients, headache was present in all the cases. Nasal obstruction & nasal discharge embraced almost equal frequency, 47% & 43% respectively. Majority of patients complained of headache in the region of forehead (43%). Headache at more than one site was present in 19% cases while headache was experienced at the site of glabella & temporal regions in 12% and 17% respectively. Caldwell- Luc’s operation was performed in 12 patients and intranasal polypectomy was required in 3% patients out of all.
Conclusion: Headache is a symptom, not a disease. It is a complaint, not a diagnosis. Headache, nasal obstruction and nasal discharge are the commonest presenting symptoms in sinugenic headache. Diagnosis of sinugenic headache is done by the clinical history, examination of nose and paranasal sinuses and relevant investigations besides excluding the headaches of nonsinugenic and psychogenic cause.
Key words: Headache, sinus disease, paranasal sinus, psychiatry.[PDF Full Text]