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Nasal obstruction and headache. A real correlation?

Desiderio Passàli1, Valerio Damiani, Francesco Maria Passàli

  • 1ENT Department-University of Siena Medical School, Viale Bracci, 53100 Siena, Italy. passali@unisi.it

International Journal of Pediatric Otorhinolaryngology
|October 19, 2004
PubMed
Summary

Children with severe headaches often have nasal physiological dysfunctions, including increased nasal resistance and impaired mucociliary transport. These nasal issues correlate with more frequent and severe headache attacks in pediatric patients.

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Area of Science:

  • Pediatric Otolaryngology
  • Allergy and Immunology
  • Neurology

Background:

  • Headache is a common complaint in school-aged children.
  • Nasal obstruction and allergies are potential contributing factors to headaches.
  • Understanding the link between nasal health and headache severity is crucial for effective management.

Purpose of the Study:

  • To investigate the association between headache and nasal obstruction or allergy in Italian school children.
  • To determine if altered nasal physiology impacts headache characteristics.

Main Methods:

  • 126 children with headache were evaluated.
  • Methods included clinical history, ENT examination, Anterior Active Rhinomanometry, nasal mucociliary transport time analysis, and skin testing.

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  • Nasal airflow resistance and mucociliary function were assessed.

    • Main Results:

    • Significantly higher nasal resistances were observed in children with severe headaches (96.2%) compared to those with sporadic headaches (23.8%).
    • An odds ratio of 80.0 indicated a strong association between severe headache and increased nasal resistance.
    • Nasal mucociliary transport time analysis corroborated the rhinomanometry findings.

    Conclusions:

    • Dysfunctions in nasal physiology, such as altered nasal resistance and impaired mucociliary transport, are linked to headache development and characteristics.
    • Children with abnormal nasal physiology experience more severe and frequent headache attacks.
    • These findings suggest nasal health is an important factor in pediatric headaches.