Abstract：
Rhinogenic headache (RH), arising from nasal and sinus pathologies, present a diagnostic challenge due to their diverse etiologies. This study investigates a unique case where RH coincides with infraorbital nerve dehiscence, delving into the intricate relationship between sinonasal anatomy and neurovascular complications. The infraorbital nerve contacted a cyst in the maxillary sinus. Centripetal endoscopic sinus surgery was performed to open the maxillary sinus and remove the cyst. After 3 months of follow-up, the patient had a notable improvement in symptoms with a reduced headache. This case highlights the significance of considering uncommon anatomic variations, such as infraorbital nerve dehiscence, within the context of RH. Diligent history-taking and appropriate use of radiologic investigations are pivotal for guiding clinicians toward an accurate diagnosis and determining the most appropriate course of treatment.
摘要：
鼻源性头痛（RH），由鼻和鼻窦病变引起，由于其不同的病因，提出了诊断挑战。这项研究调查了一个独特的案例，其中RH与眶下神经裂开同时发生，探讨鼻窦解剖与神经血管并发症之间的复杂关系。眶下神经接触上颌窦的囊肿。进行了向心内窥镜鼻窦手术以打开上颌窦并去除囊肿。经过3个月的随访，患者的症状明显改善，头痛减轻。这个案例突出了考虑罕见解剖变异的重要性，比如眶下神经裂开,在RH的背景下。勤奋的病史记录和适当使用放射学检查对于指导临床医生进行准确的诊断和确定最合适的治疗过程至关重要。
