KAREN H.CALHOUNMDRONALD B.KUPPERSMITHMDNot Available
I agree with Becker and Cunning's overview of the issue of performing endoscopic sinus surgery on patients with headache. However, I feel that my experience can provide some additional perspective in dealing with these patients.
From the research side, there is no well-done study that targets the topic of endoscopic sinus surgery and headache. Only a few retrospective articles with small numbers of patients are available for evaluation. As outlined by Becker and Cunning, these articles include reports of patients with sinus pathologic conditions, migraines due to sinusitis, and, on rare occasions, individuals with headache, normal examination, and normal CT scans. Other studies comparing sinus anatomy and symptoms show no correlation between concha bullosa middle turbinate, paradoxical middle turbinate, septal deviation, and headache. Therefore, no conclusions or help can be found in the literature.
Stankiewicz JA. Directed Functional Endoscopic Sinus Surgery and Headaches. Arch Otolaryngol Head Neck Surg. 2000;126(10):1277-1278. doi:10.1001/archotol.126.10.1277