■这项研究的目的是分析鼻源性头痛,即,非炎性额窦头痛,由额窦引流通道的骨阻塞引起的头痛,临床上受到的关注相对不足,并根据病因提出内镜额窦开放手术作为治疗方法。
■案例系列。
■从2016-2021年在成都中医药大学附属医院接受鼻内镜额窦手术治疗的非炎性额窦头痛患者资料中,提取3例患者术后随访数据,进行病例系列报告。
■本报告提供了3例非炎症性额窦炎性头痛患者的详细信息。治疗方案包括手术和复查,术前和术后症状的视觉模拟评分(VAS)评分,CT,和内窥镜图像。3例患者具有共同的特点:临床表现为反复发作或持续,额部疼痛不适,但是没有鼻塞或流鼻涕;鼻旁窦CT显示鼻窦没有炎症迹象,但提示额窦引流通道骨性阻塞。
■所有三名患者都从头痛中恢复,鼻粘膜恢复,额窦引流通畅.额头紧绷不适或疼痛复发率为0。
■确实存在非炎性额窦头痛。内镜额窦开放手术是一种可行的治疗方式,可以在很大程度上甚至完全消除额头的闷热肿胀和疼痛。这种疾病的诊断和手术指征是基于解剖异常和临床症状的组合。
UNASSIGNED: The objectives of this study were to analyze rhinogenic headache, i.e., noninflammatory frontal sinus headache, a headache caused by bony obstruction of the frontal sinus drainage channels that receives relatively insufficient attention clinically, and to propose endoscopic frontal sinus opening surgery as a treatment based on the etiology.
UNASSIGNED: Case series.
UNASSIGNED: From the data of patients with noninflammatory frontal sinus headache who underwent endoscopic frontal sinus surgery in Hospital of Chengdu University of Traditional Chinese Medicine during 2016-2021, data for three cases with detailed postoperative follow-up data were extracted for case series reports.
UNASSIGNED: This report provides detailed information on three patients with noninflammatory frontal sinusitis headache. Treatment options include surgery and rechecking, with the visual analogue scale (VAS) scores of preoperative and postoperative symptoms, CT, and endoscopic images. Three patients had common characteristics: the clinical manifestations were recurrent or persistent with pain and discomfort in the forehead area, but there was no nasal obstruction or runny nose; the paranasal sinus CT revealed no signs of inflammation in the sinuses but suggested bony obstruction of the drainage channel of the frontal sinus.
UNASSIGNED: All three patients had recovery from headache, nasal mucosal recovery, and patent frontal sinus drainage. The recurrence rate of forehead tightness and discomfort or pain was 0.
UNASSIGNED: Noninflammatory frontal sinus headache does exist. Endoscopic frontal sinus opening surgery is a feasible treatment modality that can largely or even completely eliminate the stuffy swelling and pain in the forehead. The diagnosis and surgical indications for this disease are based on a combination of anatomical abnormalities and clinical symptoms.