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Facial pain: sinus or not?

E De Corso1, M Kar2, E Cantone3

  • 1Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|January 10, 2019
PubMed
Summary
This summary is machine-generated.

Facial pain diagnosis is challenging, often leading to incorrect rhinosinusitis attribution and ineffective treatments. This review clarifies sinogenic versus non-sinogenic facial pain to improve differential diagnosis and patient care.

Keywords:
Cranial neuralgiaFacial painHeadacheMigraineNon-rhinogenicRhinogenic

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Area of Science:

  • Otolaryngology
  • Neurology
  • Pain Medicine

Background:

  • Facial pain presents significant diagnostic and therapeutic challenges, frequently leading to misdiagnosis as rhinosinusitis.
  • Many patients undergo repeated consultations and treatments, including surgery, often without accurate etiological consideration.
  • Persistent facial pain post-endoscopic sinus surgery (ESS) highlights the need to differentiate sinogenic from non-sinogenic causes.

Purpose of the Study:

  • To clarify diagnostic criteria for facial pain.
  • To improve discrimination between sinogenic and non-sinogenic facial pain.
  • To provide clinical and diagnostic criteria for differential diagnosis.

Main Methods:

  • Literature review focusing on diagnostic challenges in facial pain.
  • Analysis of overlapping symptoms between neurological and sinus diseases.
  • Synthesis of clinical and diagnostic criteria for differentiating facial pain etiologies.

Main Results:

  • Facial pain is often misattributed to rhinosinusitis, leading to inappropriate interventions.
  • Neurological and sinus conditions can present with similar symptoms and frequently co-exist.
  • Accurate etiological diagnosis is crucial to prevent persistent pain after interventions like ESS.

Conclusions:

  • Distinguishing sinogenic from non-sinogenic facial pain is critical for effective treatment.
  • Clinicians require clear diagnostic criteria to address the differential diagnosis of facial pain.
  • Improved diagnostic accuracy can reduce inappropriate treatments and improve patient outcomes for facial pain.