Abstract
Headaches of rhinogenic origin illustrate an interesting paradox. Little is known about their pathophysiology, mechanisms, and prevalence; yet, the concept that these headaches are of importance is widely accepted. This article discusses the relationship between fronto-turbinalis sinus expansion and headaches, as well as headache outcomes after surgical approach.
Similar content being viewed by others
References
Paper of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
• Obermann M, Yoon M-S, Dommes P, Kuznetsova J, Maschke M, Weimar C, et al. Prevalence of trigeminal autonomic symptoms in migraine: a population-based study. Cephalalgia 2007;27:504–9. This large population-based study showed that autonomic symptoms are relatively common in migraineurs.
Knight YE, Classey JD, Lasalandra MP, Akerman S, Kowacs F, Hoskin KL, et al. Patterns of fos expression in the rostral medulla and caudal pons evoked by noxious craniovascular stimulation and periaqueductal gray stimulation in the cat. Brain Res. 2005;1045:1–11.
May A, Goadsby PJ. The trigeminovascular system in humans: pathophysiological implications for primary headache syndromes of the neural influences on the cerebral circulation. J Cereb Blood Flow Metab. 1999;19:115–27.
Headache Classification Committee of the International Headache Society. The international classification of headache disorders. 2nd ed. Cephalalgia. 2004;24 Suppl 1:1–149.
Behin F, Behin B, Behin D, Baredes S. Surgical management of contact point headaches. Headache. 2005;45(3):204–10.
Behin F, Lipton RB, Bigal M. Migraine and intranasal contact point headache: is there any connection? Curr Pain Headache Rep. 2006;10(4):312–5.
Abu-Bakra M, Jones NS. Prevalence of nasal mucosal contact points in patients with facial pain compared with patients without facial pain. J Laryngol Otol. 2001;115(8):629–32.
Tosun F, Gerek M, Ozkaptan Y. Nasal surgery for contact point headaches. Headache. 2000;40(3):237–40.
Stammberger M, Posawetz W. functional endoscopic sinus surgery: concept, indications and results of the Messerklinger’s technique. Eur Arch Othorinolaringol. 1990;247:63–7.
Bellamy JL, Cady RK, Durham PL. Salivary levels of CGRP and VIP in rhinosinusitis and migraine patients. Headache. 2006;46(1):24–33.
Rapoport AM, Bigal ME. The clinical spectrum of migraine. Compr Ther. 2003;29(1):35–42.
Gamerra M, De Luca R. Un modello semplice per descrivere gli effetti sulla ventilazione sinusale del flusso d’aria immessa nella cavità nasale. Italian Journal of Phisic, Giornale di Fisica 2004;XLV 4.
Gamerra M, Sorrentino G, De Luca R: Ist. International Post-Graduate Course “Paranasal sinuses and anterior skull base surgery”. “Minimal endoscopic sinus surgery—Biofisic Models”, Paestum, Italy, June 10–12, 2004.
Blaugrund SM. Nasal obstruction: the nasal septum and concha bullosa. Otolaryngol Clin North Am. 1989;22:291.
•• Al-Qudah M. The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children. Int J Pediatr Otorhinolaryngol. 2008;72 6:817–21. This important study focused on normal variations of the sinuses.
Ozgursoy OB, Kucuk B. Giant concha bullosa containing another concha bullosa inside: unique anatomic variation of the middle turbinate. Rhinology. 2007;45(3):248–50.
Ozlugedik S, Nakiboglu G, Sert C, Elhan A, Tonuk E, Akyar S, et al. Numerical study of the aerodynamic effects of septoplasty and partial lateral turbinectomy. Laryngoscope. 2008;118(2):330–4.
Shankland WE. The trigeminal nerve. Part II: the ophthalmic division. Cranio. 2001;19(1):8–12.
Yanagisawa E, Mirante JP, Christmas DA. Endoscopic view of a septated concha bullosa. Ear Nose Throat J. 2008;87(2):70–1.
Sánchez Fernández JM, Anta Escuredo JA, Sánchez Del Rey A, Santaolalla Montoya F. Morphometric study of the paranasal sinuses in normal and pathological conditions. Acta Otolaryngol. 2000;120(2):273–8.
Disclosures
Dr. Giuseppe Sanges: none; Dr. Michele Feleppa: none; Dr. Mario Gamerra: none; Dr. Gerardo Sorrentino: none; Dr. Roberto De Luca: none; Dr. Maddalena Merone: none; Dr. Luigi Cacace: none. Dr. Marcelo E. Bigal is a full-time employee of Merck & Co., and holds stocks and stock options in the company.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sanges, G., Feleppa, M., Gamerra, M. et al. Fronto-turbinalis Sinus Expansion and Headache. Curr Pain Headache Rep 15, 308–313 (2011). https://doi.org/10.1007/s11916-011-0194-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11916-011-0194-2