Rhino headache

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Introduction. The term «rhinogenic headache» (RHA) is used to describe headache or facial pain resulting from the contact points of opposing surfaces in the nasal cavity. There are various opinions in modern literature on the frequency, pathogenesis and tactics of rhinogenic headache treatment. Objective. To summarize and analyse the results of original studies on rhinogenic headache. Material and methods. The review uses data presented in the following databases: eLIBRARY, PubMed/Medline, ScienceDirect, EBSCO, for the period from 2009 to 2019. The analysis includes original research on RHA, as well as analytical reviews published over the past 10 years. Results. Diagnosis of RHA is always very difficult due to the absence of pathognomonic signs of the disease and generally accepted diagnostic criteria. The most common cause of RHA is contact with a pathologically altered middle nasal shell or septal spine with the lateral wall of the nose. Contact points in the nasal cavity are often identified in radiographic studies, but no correlation between their presence and the occurrence of headache has been established. Conclusion. The attitude to the expediency of surgical removal of contact points in the nasal cavity for the treatment of RHA is ambiguous, many questions of the choice of tactics for the treatment of this pathology remain debatable. The purpose of this article was to analyze the results of original research of the last decade, reflecting the current view on the problem of RHA.

Keywords:

rhinogenic headache

contact points in the nasal cavity

radiographic studies

diagnostic tests

surgical treatment

Authors:

Boiko N.V.

Rostov State Medical University, Ministry of Health of Russia, Rostov-on-Don, Russia

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