title: Nasal mucosal contact points with facial pain and/or headache: lidocaine can predict the result of localized endoscopic resection.
abstract: The objective of the study was conducted to evaluate the effectiveness of nasal endoscopy for both diagnosis and localized excision of intranasal contact areas that cause headache and/or facial pain as well as to evaluate the use of lidocaine test for diagnosis of such cases and predicting the result of surgery. This study included 120 patients aged between 18 and 45 years, with an average period of headache and/or facial pain of 2.5 years. Patients were classified into two groups according to lidocaine test. Group A that was lidocaine positive and group B which was negative. Excision of contact points was done, under endoscopic guidance, from the septum as well as the lateral nasal wall. 98.75% of patients in group A got benefit from surgery as most cases were cured from headache and facial pain. In group B, 40% got benefit with most patients had unchanged symptoms. In conclusion, endoscopic surgery gives a more precise complete excision of limited areas without time wasting or morbidity. Lidocaine test can be used as a test to aid in diagnosis and to predict the result of surgery where there were high cure rate within the lidocaine-positive group.
authors.affiliation: ENT Department, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt. ootology@yahoo.com
authors.forename: Khaled M
authors.initials: KM
authors.lastname: Mokbel
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: Abd Elfattah
authors.forename: el-Sharawy
authors.initials: el-S
authors.lastname: Kamal
mesh_terms: D000293:Adolescent; D000328:Adult; D000779:Anesthetics, Local; D004724:Endoscopy; D005157:Facial Pain / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D006261:Headache / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000473:pathology* / Q000601:surgery; D009300:Nasal Septum / Q000473:pathology / Q000601:surgery; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine
references.citation: Headache. 2000 Mar;40(3):237-40
references.pmid: 10759927
references.citation: Laryngoscope. 1996 Jul;106(7):874-9
references.pmid: 8667986
references.citation: Clin Otolaryngol Allied Sci. 2001 Dec;26(6):510-3
references.pmid: 11843934
references.citation: J Laryngol Otol. 2001 Aug;115(8):629-32
references.pmid: 11535142
references.citation: Arch Otorhinolaryngol. 1983;238(1):9-16
references.pmid: 6192797
references.citation: Headache. 1995 Apr;35(4):185-92
references.pmid: 7775173
references.citation: J Otolaryngol. 2003 Apr;32(2):77-80
references.pmid: 12866590
references.citation: Otolaryngol Head Neck Surg. 1997 Feb;116(2):274-7
references.pmid: 9051081
references.citation: Clin Otolaryngol Allied Sci. 2004 Apr;29(2):165-8
references.pmid: 15113304
references.citation: Otolaryngol Head Neck Surg. 1994 Sep;111(3 Pt 1):211-8
references.pmid: 8084628
references.citation: Ann Otol Rhinol Laryngol Suppl. 1988 Sep-Oct;134:3-23
references.pmid: 3140703
references.citation: Laryngoscope. 1998 May;108(5):696-702
references.pmid: 9591548