EVALUATION OF SURGICAL TREATMENT OUTCOMES OF RHINOGENIC CONTACT POINT HEADACHE AT HUE CENTRAL HOSPITAL

Phuong Nam Tran1, Chi Thong Le1, Viet Thanh Le1, Le Quyen Ta1, Ngo Huy Phan1,
1 Bệnh viện Trung ương Huế

Main Article Content

Abstract


Background: Rhinogenic contact point headache is a secondary headache syndrome caused by mucosal contact points between the nasal septum and the lateral nasal wall, most commonly involving the middle turbinate. Surgical intervention is indicated when patients do not respond to medical treatment. Objective: to evaluate the surgical treatment outcomes ofrhinogenic contact point headache. Materials and methods: A total of 45 patients presenting with headaches due to nasal contact points underwent surgical treatment from May 2022 to May 2025 at the Department of Otorhinolaryngology, Hue Central Hospital. Results: Isolated septoplasty accounted for 37.8% of cases. At 3 months and 6 months post-operation, the proportions of patients experiencing complete headache relief were 80% and 91.1%, respectively. Conclusion:Endoscopic surgery is an effective treatment method for rhinogenic contact point headache.


Article Details

References

1. Teixeira J, Certal V, Chang ET, Camacho M. Nasal Septal Deviations: A Systematic Review of Classification Systems. Plast Surg Int. 2016;2016:7089123.
2. Alwan AM. Surgical Management of Rhinogenic Contact Point Headaches. The Medical Journal of Tikrit University. 2017;22(1).
3. Bektas D, Alioglu Z, Akyol N, Ural A, Bahadir O, Caylan R. Surgical outcomes for rhinogenic contact point headaches. Med Princ Pract. 2011;20(1):29-33.
4. Mantia L, Ignazio MD P, Grillo CM, PhD. Rhinogenic Contact Point Headache: Surgical Treatment Versus Medical Treatment. Journal of Craniofacial Surgery 2017;29:e228-e30.
5. Rai U, Devi P, Singh N, Lyngdoh N, Sudhiranjan T, Nongthombam N. Contact point headache: Diagnosis and management in a tertiary care center in Northeast India. Journal of Medical Society. 2018;32:51.
6. Trân LH. Đánh giá hiệu quả của phẫu thuật nội soi mũi xoang chức năng trong điều trị nhức đầu do điểm tiếp xúc. Tạp chí nghiên cứu y học TP Hồ Chí Minh. 2011;15:34-7.
7. Seyyed Abdollah Madani SAH, Seyyed Amirhosein Morshedzadeh. Results of Functional Endoscopic Sinus Surgery in Patients with Mucosal Contact Points Suffering From Chronic Daily Headache Non‐Responding to Medications. Acta Facultatis Medicae Naissensis. 2013;30:159-60.
8. Bilal N, Selcuk A, Karakus MF, Ikinciogullari A, Ensari S, Dere H. Impact of corrective rhinologic surgery on rhinogenic headache. J Craniofac Surg. 2013;24(5):1688-91.
9. La Mantia I, Grillo C, Andaloro C. Rhinogenic Contact Point Headache: Surgical Treatment Versus Medical Treatment. Journal of Craniofacial Surgery. 2017;29:1.
10. Jayawardena ADL, Chandra R. Headaches and facial pain in rhinology. Am J Rhinol Allergy. 2018;32(1):12-5.
11. Maniaci A, Merlino F, Cocuzza S, Iannella G, Vicini C, Cammaroto G, et al. Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis. Eur Arch Otorhinolaryngol. 2021;278(6):1743-53.
12. Altin F, Haci C, Alimoglu Y, Yilmaz S. Is septoplasty effective rhinogenic headache in patients with isolated contact point between inferior turbinate and septal spur? Am J Otolaryngol. 2019;40(3):364-7.
13. Welge-Luessen A, Hauser R, Schmid N, Kappos L, Probst R. Endonasal surgery for contact point headaches: a 10-year longitudinal study. Laryngoscope. 2003;113(12):2151-6.
14. Abbas B, Tawfique S. Surgical outcome for rhinogenic contact point headache in Rizgary Teaching Hospital in Erbil, Iraq. Zanco Journal of Medical Sciences. 2019;23:177-83.
15. Folic MM, Barac AM, Ugrinovic AB, Jotic AD, Trivic AS, Milovanovic JP, et al. Effectiveness of the Treatment of Rhinogenic Headache Caused by Intranasal Contact. Ear Nose Throat J. 2023;102(9):605-10.
16. Bernichi JV, Rizzo VL, Villa JF, Santos RF, Caparroz FA. Rhinogenic and sinus headache - Literature review. Am J Otolaryngol. 2021;42(6):103113.