title: Facial pain/headache before and after surgery in patients with nasal polyposis.
abstract: CONCLUSIONS
  Endoscopic surgery improved facial pain/headache and physical-psychosocial impacts in patients with nasal polyposis. However, one fifth of patients still experienced residual pain after surgery, requiring neurologic counseling to look for the non-sinonasal cause of their symptoms.
  
  
  OBJECTIVE
  Considering the limited amount of literature on facial pain/headache in patients with nasal polyposis, this prospective study assesses facial pain/headache and its impacts on the quality-of-life (QoL) before and after endoscopic surgery.
  
  
  METHODS
  Facial pain/headache was assessed, using the DyNaChron questionnaire, in 107 patients with nasal polyposis 1 day prior to surgery and 6 weeks after surgery. All patients were operated on endoscopically on the bilateral ethmoidal labyrinths and olfactory clefts.
  
  
  RESULTS
  Moderate or severe facial pain/headache was reported by 50% of the patients before surgery and by 20% after surgery. Post-operatively, 79.44% of patients reported no/very mild pain (vs 47.66% pre-operatively) and 20.56% moderate/severe pain (vs 52.33% pre-operatively). The pain was statistically reduced after surgery among patients with previous surgery (p = 0.0006). The scores of all analysed impacts of pain improved after surgery. However, patients with grade 1 polyps seemed to have less benefit from the surgery for facial pain/headache than those with more severe nasal polyposis.
authors.affiliation: University Hospital of Nancy, Department of ENT - Head and Neck Surgery , Nancy , France.
authors.forename: Duc Trung
authors.initials: DT
authors.lastname: Nguyen
authors.forename: Marylisa
authors.initials: M
authors.lastname: Felix-Ravelo
authors.forename: Fabien
authors.initials: F
authors.lastname: Arous
authors.forename: Phi-Linh
authors.initials: PL
authors.lastname: Nguyen-Thi
authors.forename: Roger
authors.initials: R
authors.lastname: Jankowski
mesh_terms: D004724:Endoscopy / Q000379:methods*; D005157:Facial Pain / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006261:Headache / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000150:complications / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010147:Pain Measurement; D011184:Postoperative Period; D057234:Preoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D012903:Smell / Q000502:physiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Nasal polyposis; dynachron questionnaire; facial pain; headache; quality-of-life