Sinusitis: more than a headache.
To conclude, the paper by Brown in this issue illustrates the value of considering sinusitis as a cause of refractory headache but more importantly illustrates the value of new approaches to diagnosis and management of this frustrating condition. We must be cautious to avoid overutilization of these techniques; in all likelihood only a small percentage of patients have "true sinus headaches." However, we should be liberal about using new imaging techniques (notably, CT scans) to determine which patients need thorough evaluation by an otolaryngologist. Although we have gained a great deal of information, one question still troubles me and remains largely unanswered. Why did the Good Lord see fit to give us sinuses in the first place?
Bryan
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D006261:Headache / Q000209:etiology*; D006801:Humans; D009181:Mycoses / Q000150:complications; D012852:Sinusitis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology