[Clinical observation of simple rhinologic headache due to rhinal structural abnormalities].

Chao-xin Fang, Shao-shao Zhen
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Abstract

Objective: To analyze the causes and evaluate the therapies for simple rhinologic headache resulting from rhinal structural abnormalities.

Method: A retrospective analysis of 62 cases of simple rhinologic headache was conducted. All the patients were examined by high-resolution CT and nasal endoscopy to identify the anatomic structural abnormality in the nasal cavity. After establishment of the diagnosis, the nasal abnormalities were corrected by nasal endoscopic surgery.

Result: Of all the cases, 46 were cured, 12 responded favorably to the treatment, and 4 failed to respond possibly due to multiple causes of the headache and misdiagnosis.

Conclusion: High-resolution CT combined with nasal endoscopy may improve the diagnosis of simple rhinologic headache and nasal endoscopic surgery may serve as an effective modality for its treatment by correcting the nasal structural abnormalities.

【鼻腔结构异常致单纯性鼻头痛的临床观察】。
目的:分析鼻腔结构异常所致单纯性鼻头痛的原因及治疗方法。方法:对62例单纯性鼻头痛进行回顾性分析。所有患者均行高分辨率CT和鼻内镜检查,以确定鼻腔解剖结构异常。诊断确定后,采用鼻内窥镜手术矫正鼻畸形。结果:治愈46例,治疗效果良好12例,4例可能因多种原因引起头痛及误诊而无效。结论:高分辨率CT联合鼻内窥镜检查可提高单纯性鼻头痛的诊断率,鼻内窥镜手术可通过纠正鼻结构异常作为治疗单纯性鼻头痛的有效方式。
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