Headaches and sinus disease.
Modern diagnostic tools like fiberoptic nasal endoscopy and CT imaging of the sinuses are very sensitive in helping clinicians diagnose sinus disease; we may now reevaluate the symptoms and signs most useful in making a clinical diagnosis of rhinosinusitis. Two major systems of classification and diagnostic criteria relating headaches and sinus disease have achieved currency-that of the International Headache Society (IHS) (1988) and the more recent task force recommendations of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) (1997). This report compares and contrasts the different starting points, certain assumptions, and conflicting conclusions of these two classification systems and recommends a cooperative alliance of the IHS and AAO-HNS when these diagnostic criteria are revised.
Blumenthal
H J
HJ
Neurological Associates of Tulsa, Inc., 312 Kelly Professional Building, 6565 South Yale Avenue, Tulsa, OK 74136-8304, USA.
D013502:General Surgery; D017408:Guidelines as Topic; D006257:Head / Q000601:surgery; D006261:Headache / Q000209:etiology*; D006801:Humans; D007391:International Cooperation; D009333:Neck / Q000601:surgery; D010036:Otolaryngology; D010254:Paranasal Sinus Diseases / Q000150:complications*; D012220:Rhinitis / Q000175:diagnosis; D012852:Sinusitis / Q000175:diagnosis; D012955:Societies, Medical; D009626:Terminology as Topic; D014481:United States