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Related Experiment Videos

Middle turbinate headache syndrome

W T Anselmo-Lima1, J A de Oliveira, J G Speciali

  • 1Department of Ophthalmology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.

Headache
|February 1, 1997
PubMed
Summary
This summary is machine-generated.

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Middle turbinate headache syndrome, often caused by concha bullosa, can be effectively treated with surgery. Surgical intervention, including partial middle turbinectomy and septoplasty, resolved headaches in four out of five patients, offering significant relief.

Area of Science:

  • Otorhinolaryngology
  • Neurology
  • Pain Medicine

Background:

  • The anterior ethmoidal nerve innervates the middle turbinate and nasal septum, potentially causing periorbital pain.
  • Middle turbinate compression, nasal mucosal congestion, or concha bullosa can lead to periorbital pain.
  • Middle turbinate headache syndrome is a recognized but often overlooked condition.

Purpose of the Study:

  • To investigate the efficacy of surgical intervention for middle turbinate headache syndrome.
  • To present cases of middle turbinate headache syndrome associated with concha bullosa.
  • To evaluate the long-term outcomes of surgical treatment.

Main Methods:

  • Case series of five patients diagnosed with middle turbinate headache syndrome.
  • Diagnostic workup included anterior rhinoscopy, CT scans, and lidocaine tests.

Related Experiment Videos

  • Surgical treatment involved partial middle turbinectomy and septoplasty in four patients.

    • Main Results:

    • All five patients presented with concha bullosa.
    • Four patients who underwent surgery experienced excellent resolution of headaches.
    • One patient who declined surgery remained symptomatic despite medical management.

    Conclusions:

    • Surgical treatment, specifically partial middle turbinectomy and septoplasty, appears effective for middle turbinate headache syndrome.
    • Early diagnosis and surgical intervention are crucial for successful management.
    • Further studies with larger cohorts are warranted to confirm these findings.