Rhinogenic Headaches

  • Rebecca L. Farmer
  • Ravi K. Garg
  • Ahmed M. AfifiEmail author
  • Marcelo Hochman


Headaches of rhinogenic origin pose a particular diagnostic and therapeutic challenge to the plastic surgeon or otolaryngologist. Although there is significant evidence to suggest that functional nasal surgery to correct aberrant contact points within the nose can improve chronic headache symptoms, the pathophysiology of this process is not well understood. Identification of patients with rhinogenic headache can be challenging given the variable presentation and overlap with other headache types. Furthermore, surgeons must also possess knowledge of the most common surgical procedures that are used to address aberrant mucosal contact points. Given that rhinogenic headaches are a common clinical entity, a thorough understanding of the management strategies for these headaches is essential to the practicing surgeon. In this chapter, we will review the proposed pathophysiology and diagnostic criteria for rhinogenic headaches, and provide a description of the various surgical approaches that can be used to effectively treat these headaches in the general population.


Functional rhinoplasty Mucosal contact point Rhinogenic headache Migraine Migraine surgery Headache surgery 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rebecca L. Farmer
    • 1
  • Ravi K. Garg
    • 2
  • Ahmed M. Afifi
    • 1
    • 3
    Email author
  • Marcelo Hochman
    • 4
  1. 1.Division of Plastic SurgeryUniversity of Wisconsin - MadisonMadisonUSA
  2. 2.Department of Plastic SurgeryUniversity of KansasKansas CityUSA
  3. 3.Cairo UniversityCairoEgypt
  4. 4.The Facial Surgery CenterCharlestonUSA

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