Document Detail


The outcomes for nasal contact point surgeries in patients with unsatisfactory response to chronic daily headache medications.
MedLine Citation:
PMID:  21461896     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The nasal contact point may act as a trigger point or peripheral enhancer in patients with chronic daily headaches. A total of 42 patients had unsatisfactory response to medical treatment for chronic daily headache with radiologic evidence of nasal contact point. Of them, 12 (28.5%) patients were positive for the local anesthetic test. Those patients were operated upon to separate this contact by either septoplasties or submucous resections with or without partial turbinectomies. The mean headache frequency was reduced from 22 to 7 days/month. The mean headache severity was reduced from 5.6 to 2.4. Eight (19%) patients became completely free from headache and its medications, six (75%) of them were positive for local anesthetic test. The patients were satisfied with postoperative monotherapy, or headache severity and frequency could be tolerated without medications in 26 (62%) patients. There was no improvement in seven (16.6%) patients and only one patient (2%) became worse. The overall satisfaction was 83 and 81% for positive and negative anesthetic tests, respectively. The average monthly medication cost was reduced from $85 to 32. Nasal contact point surgery for chronic daily headache patients can satisfy them compared to previously unsatisfactory medications. Nasal contact point may contribute to potentiating or triggering chronic daily headache.
Authors:
Mohamed Abu-Samra; Olfat Abdel Gawad; Mahmoud Agha
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2011-04-03
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  268     ISSN:  1434-4726     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-08-04     Completed Date:  2011-12-14     Revised Date:  2012-11-02    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1299-304     Citation Subset:  IM    
Affiliation:
Otorhinolaryngology Department, Mansoura University, Mansoura, Egypt. mabusamra69@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesics / therapeutic use
Female
Follow-Up Studies
Headache Disorders / drug therapy,  etiology,  surgery*
Humans
Male
Middle Aged
Nasal Surgical Procedures / methods*
Nose / surgery*
Pain Measurement
Prospective Studies
Severity of Illness Index
Single-Blind Method
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Analgesics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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