title: Impact of corrective rhinologic surgery on rhinogenic headache.
abstract: OBJECTIVE
  In this study, the localization of the headache, mucosal contact points, sinonasal anatomic variations and the incidence of mucosal abnormalities were determined in patients with rhinogenic headache, and the efficacy of the corrective surgery on the severity of the headache and the rate of improvement on that localization were investigated.
  
  
  METHODS
  Conducted in a prospective manner.
  
  
  METHODS
  Level 2b.
  
  
  METHODS
  Sixty-five patients who were admitted with sinonasal symptoms and headache and had septoplasty, endoscopic sinus surgery, or surgical procedures involving the nasal turbinates were included in this study. The quality and the severity of the headache were investigated preoperatively as well as in the 3rd and 12th postoperative months.
  
  
  RESULTS
  Headache was most frequently localized the frontal region. The mucosal contact points were most frequently localized between the nasal septum and the middle or inferior turbinates. Differences between preoperative headache and headache in postoperative 3rd month and postoperative 12th month were statistically significant (P < 0.05). Improvement in headache after surgery was statistically significant in cases with Haller cell and paradoxical middle turbinate and in patients with contact points between the nasal septum and the middle or inferior turbinates (P < 0.05).
  
  
  CONCLUSIONS
  We have shown the importance of surgery in the treatment of rhinogenic headache. We have also shown the reliability of the decongestion test for determining the indication for surgery. We suggest that the rhinologic surgery may have a great contribution to the treatment of headache.
authors.affiliation: From the *ENT Clinic, Kahramanmaras Necip Fazil Sehir State Hospital, Kahramanmaras; †ENT Clinic, Kocaeli Derince Education and Research Hospital, Kocaeli; ‡ENT Clinic, Ankara Golbasi Hasvak State Hospital, Ankara; and §2th ENT Clinic, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Nagihan
authors.initials: N
authors.lastname: Bilal
authors.forename: Adin
authors.initials: A
authors.lastname: Selcuk
authors.forename: Mehmet Fatih
authors.initials: MF
authors.lastname: Karakus
authors.forename: Aykut
authors.initials: A
authors.lastname: Ikinciogullari
authors.forename: Serdar
authors.initials: S
authors.lastname: Ensari
authors.forename: Huseyin
authors.initials: H
authors.lastname: Dere
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods; D005260:Female; D051270:Headache Disorders, Primary / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery; D059747:Nasal Surgical Procedures / Q000379:methods*; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D011446:Prospective Studies; D015203:Reproducibility of Results; D012225:Rhinoplasty / Q000009:adverse effects; D014420:Turbinates / Q000601:surgery