Rajwant Kaur1* and Pawan Kumar2
1Department of Otorhinolaryngology, Government Medical College and Hospital Patiala, Punjab, India
2Department of Orthopaedics, AP Trauma Centre and Hospital Patiala, Punjab, India
*Corresponding Author: Rajwant Kaur, Department of Otorhinolaryngology, Government Medical College and Hospital Patiala, Punjab, India.
Received: November 24, 2020; Published: December 09, 2020
Background: Headache is most common complaint of human being. Classified into primary (migraine, tension headache and trigeminal neuralgia) and secondary (infectious, vascular and drug induced). Sinugenic headache is deep seated, dull aching with fullness and heaviness in sinus area. The purpose of study to assess the comprehensive role of otorhinolaryngologists in the diagnosis of headache and to evaluate the efficacy of medical and surgical management of patients presented with headache. 200 patients reported to rhinology clinic with headache. Detailed history, head and neck examination routine blood investigation, fundus examination and anterior rhinoscopy, radiological investigations X-ray paranasal sinuses, skull and cervical spine and direct nasal endoscopy was and CT paranasal sinus preoperatively done
Results: 200 patients assessed using VAS analog scale before and after treatment dividing into four groups: resolved, improved, no change, and worsened’ group; p value was statistically significant in resolved and improved group whereas non-significant in no change and worsened group. 129 patients had non-sinugenic headache; 29(22.48%) with cervical cause, Migraine 24 (18.60%) and ophthalmic 23 (17.48%) respectively; dental and vascular 19 (14.72%) each, and psychogenic headache in 13 (10.07%) and trigeminal neuralgia in 2 patients (1.55%). 96.12% were relieved by medical treatment whereas 71 patients of sinugenic headache 21.12% were treated successfully with medical treatment. One refused surgery, 50/55 (90.90%). Improvement assessed by SNOTT-22 pre and post-surgery that was statistically significant p value-0.002.
Conclusion: Headache need comprehensive management. Sinugenic headache managed successfully initially with medical treatment and refractory cases by surgical intervention with equal efficacy.
Keywords: Sinugenic Headache; Otorhinolaryngologists; SNOTT-22; Contact Point Headache
Citation: Rajwant Kaur and Pawan Kumar. “Comprehensive Role of Otorhinolaryngologists in the Management of Headache: A Prospective Tertiary Care Centre Based Study". Acta Scientific Otolaryngology 3.1 (2021): 03-10.
Copyright: © 2021 Rajwant Kaur and Pawan Kumar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.