A white woman, aged 32, described left-sided headaches of four years' duration. They were not affected by time of day or changes in weather and were relieved only slightly by aspirin. Since December 1972, the headaches became more severe and awakened her at night. The patient was not able to follow her occupation since February 1973.
She underwent a Caldwell-Luc operation on the left 13 years earlier, and had the first and second left upper molars removed because of caries five years ago. On physical examination, there was slight tenderness over the left malar region. The nasal septum was significantly deviated to the left with obstruction of the upper nasal passages. There was an adhesion between the nasal septum and the left inferior turbinate. There was a perforation in the posterior part of the nasal septum due apparently to a previous septectomy, probably at the time of the Caldwell-Luc operation.
Lubart J. Headache Due to Impacted Molar. JAMA. 1974;227(11):1302. doi:10.1001/jama.1974.03230240060029
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