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Prevalence and etiological causes of sinus headache in 113 consecutive patients with chronic rhinosinusitis

机译：连续113例慢性鼻-鼻窦炎患者窦性头痛的患病率和病因

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Prevalence and etiological causes of sinus headache in 113 consecutive patients with chronic rhinosinusitis Mustafa Kaymak?? 1 , ?zer Erdem Gür 2 , Güne? Pay 3 1 2 3 The aim of this article is to examine the prevalence and etiological causes of sinus headache in patients with chronic rhinosinusitis. Patients who complained of sinus headache were identified and their presenting symptoms were analyzed in the light of the final diagnosis, after surgical treatment and follow-up. The mean follow-up time for patients with sinus headache was 3.2 months (range, 4-16 weeks). Patients? responses to treatment were classified under three categories; complete improvement, partial improvement and no response to treatment. Headache resolved completely in nine (34.6%) out of 26 patients diagnosed with chronic sinusitis and complaining of headache, while partial resolution was seen in five (19.2%) and no change in pain in 12 (46.1%). Five patients with partial improvement and 12 patients with no improvement were re-evaluated through consultation with the neurology clinic. Eleven patients were diagnosed with migraine and five with tension type headache. No additional disease to sinusitis was determined in one patient. Sinonasal surgery may be beneficial in patients with primary headaches. We believe that new diagnostic criteria for migraine without aura and tension type headache accompanied by sinonasal pathologies are now needed.
机译：连续113例慢性鼻-鼻窦炎Mustafa Kaymak患者窦性头痛的患病率和病因 1 ，? ErdemGür 2 ，古妮？支付 3 1 2 3 本文旨在探讨鼻窦炎的发生率和病因。慢性鼻鼻窦炎患者。确定了抱怨窦性头痛的患者，并根据最终诊断，手术治疗和随访对他们的症状进行分析。窦性头痛患者的平均随访时间为3.2个月（4-16周）。耐心？对治疗的反应分为三类：完全改善，部分改善，对治疗无反应。在诊断出患有慢性鼻窦炎和头痛的26例患者中，有9例（34.6％）的头痛得到完全解决，而5例（19.2％）则部分缓解，12例（46.1％）疼痛无变化。通过与神经内科诊所协商，对5例部分改善的患者和12例未改善的患者进行了重新评估。 11例被诊断为偏头痛，5例为紧张型头痛。一名患者未发现鼻窦炎的其他疾病。鼻鼻手术对原发性头痛患者可能有益。我们认为，现在需要针对无先兆偏头痛和紧张型头痛并伴有鼻窦病变的偏头痛的新诊断标准。

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