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Abstract：
To assess the clinical outcome of endoscopic septoturbinal surgeries in patients with rhinogenic contact point headache. Retrospective audit of medical records. Retrospective audit of medical records of patients having undergone endoscopic surgical management for contact point headache between a period of May 2017 to May 2018 were included in the study. Patients who underwent functional endoscopic sinus surgery were excluded from the study. Pre operative pain score were compared with post operative pain score at interval of 1 month for 3 months consequently and at 1 year interval using Visual Analog scale (VAS). The difference between preoperative (mean 6.82) and post operative VAS pain scores after 1 month (mean 3.36), 2 months (mean 4.50), 3 months (mean 5.48), 1 year (mean 5.01) was statistically significant (p < 0.001). Contact point headache is an important clinical entity that might be missed during evaluation and management of refractory headache. Surgical management under endoscopic guidance can help to ensure removal of mucosal contact point and aid in the treatment of refractory headache as noted in our study.
摘要：
评估鼻接触点头痛患者经内镜间期手术的临床疗效。病历的回顾性审核。该研究包括对2017年5月至2018年5月期间因接触点头痛而接受内窥镜手术治疗的患者的病历进行回顾性审核。接受功能性内窥镜鼻窦手术的患者被排除在研究之外。使用视觉模拟量表（VAS）将术前疼痛评分与术后疼痛评分进行比较，间隔1个月，间隔3个月，间隔1年。术前（平均6.82）和术后1个月VAS疼痛评分之间的差异（平均3.36），2个月（平均4.50），3个月（平均5.48），1年（平均5.01）具有统计学意义（p<0.001）。接触点头痛是难治性头痛的评估和治疗过程中可能遗漏的重要临床实体。如我们的研究所述，在内窥镜指导下进行手术治疗有助于确保去除粘膜接触点并有助于治疗难治性头痛。
