What question did this study set out to answer?

To assess the efficacy of surgical interventions in the nasal cavity and paranasal sinuses for relieving migraines and neurovascular headaches provoked by rhinogenic triggers.

November 1, 1992Head & Neck

Pathogenesis and surgical treatment of migraine and neurovascular headaches with rhinogenic trigger

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Authors

VNVesna Novak MMMiro MakekUniversity of Zurich

Discussion

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Implication

Case series demonstrates high rates of headache resolution following nasal surgery in patients with rhinogenic triggers, suggesting structural nasal contacts contribute to neurovascular pain.

Key Points

To assess the efficacy of surgical interventions in the nasal cavity and paranasal sinuses for relieving migraines and neurovascular headaches provoked by rhinogenic triggers.
Retrospective review of N=299 patients treated between 1973 and 1991 for migraines, cluster headaches, or idiopathic headaches.
Patients underwent septal correction, middle concha resection, ethmoidectomy, and sphenoidectomy on the symptomatic side or bilaterally.
Complete headache resolution occurred postoperatively in 235 of 299 patients (78.5%), who became totally asymptomatic.
Occasional mild head pressure without migraine was reported in 34 patients (11.5%), while 30 patients (11%) experienced only rare, mild, and short-duration headaches.

Cite This Study

Novak et al. (1992) studied this question.

synapsesocial.com/papers/6a9240065de6664d6a6763ea https://doi.org/10.1002/hed.2880140608

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Implication

Case series demonstrates high rates of headache resolution following nasal surgery in patients with rhinogenic triggers, suggesting structural nasal contacts contribute to neurovascular pain.