الفهرس | Only 14 pages are availabe for public view |
Abstract The patient with facial pain or headache presents a diagnostic challenge. Difficulties arise because of the overlap in symptoms between different conditions. Many patients with facial pain suggestive of sinus disease are ultimately proved through extensive investigations to have intranasal anatomical variations without sinusitis. The enlarged middle turbinate (concha bullosa) in contact with nasal septum or lateral nasal wall has been implicated as possible causes of the contact point rhinogenic headache. This work aimed to assess the role of the concha bullosa of the middle turbinate in the pathogenesis of contact point headache of non-infective cause. Also to put the criteria of diagnosing of such contact point rhinogenic headache, to search for its clinical presentation, CT findings and the best methods of managing these patients. Surgical removal appears to provide relief in appropriately selected patients. |