鼻形成術を受ける患者における片頭痛および副鼻腔頭痛の頻度
Ryan Cvelbar1, R'ay Fodor2, Elad Fraiman3
1Northeast Ohio Medical University School of Medicine, Cleveland, OH.
Background:
Nearly two thirds of patients who suffer from migraine headaches (MH) have a rhinogenic trigger site. A majority of rhinoplasty patients are female, and an estimated 18% of females suffer from MH. Rhinogenic MH and sinus headaches (SH) are commonly triggered by elements which can be readily addressed during septorhinoplasty. Consequently, this surgery may present a dual opportunity to address MH/SH and cosmetic concerns simultaneously.
Objectives:
This study aims to quantify the incidence of MH and SH in patients presenting for primary rhinoplasty.
Methods:
A retrospective review was conducted on a consecutive sample of patients who presented for primary rhinoplasty. The senior author's 2-page preoperative questionnaire which inquires about MH and SH was used to identify patients who self-reported MH and SH. MH and SH incidences were calculated as a percentage of the total number of patient responses.
Results:
A total of 190 primary rhinoplasty patients (164 females (86.32%) and 26 males (13.68%)) were included in this study. In total, 64 (33.68%) had either SH or MH. Twenty-nine patients (15.26%) had SH only, 12 (6.32%) MH only, 23 (12.11%) both MH and SH, and 35 (18.42%) had MH with or without SH.
Conclusions:
MH incidence (18.42%) in this patient sample was greater than the reported global migraine rate of 14-15%. By screening for and treating rhinogenic MH and SH, surgeons can both alleviate symptoms while fulfilling aesthetic objectives.
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