内視鏡下鼻内副鼻腔手術を施行した頭痛症例の検討

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  • Clinical Outcomes after Endoscopic Sinus Surgery for Patients with Sinus Headache
  • リンショウ ナイシキョウ カビナイ フクビクウ シュジュツ オ シコウシタ ズツウ ショウレイ ノ ケントウ

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Headache is a common complaint in sinus diseases. Especially in cases of acute sinusitis, headache is often associated with congestion and purulent discharge, which facilitates the diagnosis. However, cases of chronic sinusitis that involve persistent headache as a chief complaint may often cause difficulty in selecting the surgical method such as endoscopic sinus surgery (ESS). This study investigated the relationship between headache site and CT findings and evaluated the postoperative results of patients with sinus headache after ESS. Thirty-eight patients with headache underwent surgery between 2000 and 2005. The etiology of headache was chronic sinusitis in 31, fungal sinusitis in 4 and sinus cyst in 3. Twenty-seven patients complained of frontal and/or occipital headache and 3 complained of temporal headache.<br>On CT findings, the site demonstrating clouded sinus almost corresponded to the lesion causing headache and lesion of the ostiomeatal complex seemed to be causative in frontal headache. As a result thirty-seven of 38 patients had no further headache after surgery during an average postoperative followup of 7.1 months.

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