Middle turbinate lateralization: a simple treatment for rhinologic headache |
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Authors: | Kunachak Somyos |
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Institution: | Department of Otolaryngology Head and Neck Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. kunachak@bkk.loxinfo.co.th |
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Abstract: | OBJECTIVE: To introduce a minimally invasive method to eliminate the symptoms of contact-point rhinologic cephalgia. STUDY DESIGN: A prospective study of 55 patients with chronic nasal or glabellar pain and endoscopically proven nasal origin. METHODS: All 55 patients in whom endoscopic examination demonstrated a contact point between the middle turbinate and the nasal septum were treated by fracturing the middle turbinate lateralward using a small metal tongue depressor under 10% lidocaine HCL topical anesthesia. RESULTS: Of the treated cohort, 48 (87%) of the patients had complete clinical symptom resolution after one treatment and all had resolution after two treatments. Recurrence occurred in 1 patient. There were no short-term or long-term adverse sequelae. The results persisted at a mean follow-up time of 50 months (range, 6-84 mo). CONCLUSION: Middle turbinate lateralization is safe and effective in eliminating the symptoms of rhinologic cephalgia induced by contact point between the middle turbinate and nasal septum. |
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Keywords: | Rhinologic cephalgia four‐finger headache nasal pain |
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