Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of E.N.T

Objectives investigate the role of some anatomical variations of the nose in rhinogenic contact point headache and to evaluate the role of surgery in management of such headache. Patients and methods study included twenty patients from September 2016 till December 2016 with rhinogenic contact headache of more than one year duration. Evaluation of surgical management for these cases was done as regards improvement of headache duration, intensity and frequency over a follow up period of three months at least after the operation. Results twenty patients were included with ages ranging from 19 to 45 years, eleven of them were males and nine were females. Sixteen cases showed complete cure, 2 showed improvement and 2 showed unsatisfied results. Deviated septum was found in 17 cases (85%), concha bullosa in 7 patients (35%) and hypertrophied inferior turbinate in 6 patients (30%). More than one anatomical variation was encountered in most of the cases. The two failed cases showed pre operative long duration since they started to complain from headache and longer duration of each headache attack. Conclusion intra nasal anatomical variations play a role in pathogenesis of contact rhinogenic headache and the surgical treatment of these anatomical variations succeeded in eliminating or significantly reducing the contact headache

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