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Headache and Facial Pain: Diagnosis, Evaluation and Management

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Contemporary Rhinology: Science and Practice

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Abstract

This chapter aims to discuss the different causes of facial pain, their diagnostic criteria and treatment options and conclude with an algorithm for facial pain assessment and management which we think would be practical and useful in day-to-day practice.

This initial section considers a systematic approach to the patient presenting with facial pain and is followed by a discussion of the various primary facial pain disorders.

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References

  1. Karmody C S. Headache and Facial Pain. Otolaryngol Clin N Am. 2003;36(6):1041–260.

    Article  Google Scholar 

  2. Pain outcome measures, Br J Pain Soc, 2019.

    Google Scholar 

  3. Lal D, Rounds AB, Rank MA, Divekar R. Clin and 22-item Sino-Nasal Outcome Test symptom patterns in primary headache disorder patients presenting to otolaryngologists with "sinus" headaches, pain or pressure. Int Forum Allergy Rhinol. 2015;5:408–16.

    Article  PubMed  Google Scholar 

  4. Wu D, Gray ST, Holbrook EH, BuSaba NY, Bleier BS. SNOT-22 score patterns strongly negatively predict chronic rhinosinusitis in patients with headache. Int Forum Allergy Rhinol. 2019;9:9–15.

    Article  PubMed  Google Scholar 

  5. Clifton NJ, Jones NS. Prevalence of facial pain in 108 consecutive patients with paranasal mucopurulent discharge at endoscopy. J Laryngol Otol. 2007;121:345.

    Article  CAS  PubMed  Google Scholar 

  6. Jones NS, Cooney TR. Facial pain and sinonasal surgery. Rhinology. 2003;41:193–200.

    PubMed  Google Scholar 

  7. Lloyd GAS. CT of the paranasal sinuses: a study of a control series in relation to endoscopic sinus surgery. J Laryngol Otol. 1990;104:447–8.

    Article  Google Scholar 

  8. Daudia AT, Jones NS. Facial migraine in a rhinological setting. Clin Otolaryngol. 2002;27:251–5.

    Article  Google Scholar 

  9. Schreiber CP, Hutchinson S, Webster CJ, et al. Prevalence of migraine in patients with a history of self-reported or physician-diagnosed “sinus” headache. Arch Intern Med. 2004;164:1769–72.

    Article  PubMed  Google Scholar 

  10. Herd CP, Tomlinson CL, Rick C, Scotton WJ, Edwards J, Ives NJ, Clarke CE, Sinclair AJ. Cochrane systematic review and meta-analysis of botulinum toxin for the prevention of migraine. BMJ Open. 2019;9(7):e027953.

    Article  PubMed  PubMed Central  Google Scholar 

  11. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24(Suppl 1):9–160.

    Google Scholar 

  12. Hooge CF, Redekop WP. Trigeminal neuralgia in multiple sclerosis. Neurology. 1995;45:1294–6.

    Article  CAS  PubMed  Google Scholar 

  13. Fuad F, Jones NS. Paroxysmal hemicrania and cluster headache: two discrete entities or is there an overlap? Clin Otolaryngol Allied Sci. 2002;27:472–9.

    Article  CAS  PubMed  Google Scholar 

  14. Ashina A, Bendtsen L, Ashina M, Magrel W, Jensen R. Generalised hyperalgesia in patients with chronic tension-type headache. Cephalgia. 2006;26:940–8.

    Article  CAS  Google Scholar 

  15. Bendtsen L, Jensen R, Olesen J. A non-selective (amitriptyline), but not a selective (citalopram), serotonin reuptake inhibitor is effective in the prophylactic treatment of chronic tension type headache. Neurol Neurosurg Psychiatry. 1996;61:285–90.

    Article  CAS  Google Scholar 

  16. Sluder G. The role of the sphenopalatine (or Meckel’s) 42. ganglion in nasal headaches. N Y Med J. 1908;87:989–90.

    Google Scholar 

  17. McAuliffe GW, Goodell H, Wolff HG. Experimental studies on headache: pain from the nasal and paranasal structures. Research Publication, vol. 23. New York: Association for Research in Nervous and Mental Disease; 1943. p. 185–208.

    Google Scholar 

  18. Abu-Bakra M, Jones NS. The prevalence of nasal contact points in a population with facial pain and a control population. J Laryngol Otol. 2001;115:629–32.

    Article  CAS  PubMed  Google Scholar 

  19. Zhou JY, Wang D. An update on botulinum toxin A injections of trigger points for myofascial pain. Curr Pain Headache Rep. 2014;18(1):386. https://doi.org/10.1007/s11916-013-0386-z. PMID: 24338700

    Article  PubMed  Google Scholar 

  20. Aoki KR. Evidence for antinociceptive activity of botulinum toxin type A in pain management. Headache. 2003;43(Suppl 1):S9–15. https://doi.org/10.1046/j.1526-4610.43.7s.3.x. PMID: 12887389

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, Grampian University Hospital, Aberdeen Royal Infirmary, Aberdeen, UK

    Bhaskar Ram, Vamsidhar Vallamkondu & Sangeeta Maini

Authors
  1. Bhaskar Ram
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  2. Vamsidhar Vallamkondu
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  3. Sangeeta Maini
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Corresponding author

Correspondence to Bhaskar Ram .

Editor information

Editors and Affiliations

  1. Liverpool Head and Neck Centre, Liverpool University Hospitals, Foundation Trust, Liverpool, UK

    Andrew C. Swift

  2. Otolaryngology, Freeman Hospital, Newcastle upon Tyne, Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK

    Sean Carrie

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Christopher de Souza

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Ram, B., Vallamkondu, V., Maini, S. (2023). Headache and Facial Pain: Diagnosis, Evaluation and Management. In: Swift, A.C., Carrie, S., de Souza, C. (eds) Contemporary Rhinology: Science and Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-28690-2_41

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  • DOI: https://doi.org/10.1007/978-3-031-28690-2_41

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-28689-6

  • Online ISBN: 978-3-031-28690-2

  • eBook Packages: MedicineMedicine (R0)

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