Does Rhino-genic Headache Improve after Endoscopic Concha Bullosa Surgery in the Adult Patients?

Authors

  • Ahmed Muhei Rasheed
  • Ahmed Salah Ahmed
  • Mustafa Salman Hamed

DOI:

https://doi.org/10.37506/ijphrd.v13i3.18207

Keywords:

Concha Bullosa, Middle Turbinate Transverse Excision, Partial Lateral Middle Turbinectomy, Visual Analogue Scale.

Abstract

Background: Pneumatizaton of Middle Turbinate (MT) is one of the common anatomical variations of the Nasal cavity
named Concha Bullosa. It may be presented with facial pain or headache. There are several surgical techniques to treat
Concha Bullosa.
Aim of the study: This is to evaluate the improvement of Rhino-genic headache after endoscopic Concha Bullosa surgery
in adult patients.
Patients and methods: A prospective comparative study was designed in the Department of Otolaryngology at Al-
Jerahat Teaching Hospital in Medical City and private hospital, Baghdad, Iraq, from March 2019 to August 2020. Forty
patients suffering from headaches of Rhino-genic origin of more than six months duration were enrolled in the current
study. Nasal examination by zero-degree endoscope revealed unilateral or bilateral MT enlargement with mucosal
contact points to the Osteo-Meatal Complex or the Nasal Septum. All the patients had Nasal and Para-Nasal sinuses
CT scan and xylocaine-xylometazoline test. The Forty patients were allocated into two groups, group A patients treated
by Partial Lateral Middle Turbinectomy (PLMT). The 20 patients in group B had been subjected to Middle Turbinate
Transverse Excision (MTTE). Patients followed-up every week in the first month and then every two weeks for the next
two months. The headache assessment was achieved preoperatively using the Visual Analogue Scale (VAS) and at the
third postoperative month. Statistical analysis was done using the Chi-square test to compare the VAS scores in group A
patients at the third postoperative month to group B patients, and P-value was calculated.
Results: Fifty percent of the patients treated by PLMT became free of headache, 35% had a mild headache, and 15%
moderate. In contrast, 85%of the patients subjected to MTTE became headache-free, and 15% still with mild headache (P
value= 0.031).
Conclusions: MTTE is a better option than PLMT in relieving headaches due to contact between Concha Bullosa and
Osteo-Meatal Complex or Nasal Septum.

Author Biographies

  • Ahmed Muhei Rasheed

    Assistant professor, FIBMS, Department of surgery-otolaryngology/ College of Medicine /
    Baghdad University, Bab Al-Muadham/ Baghdad/ Iraq

  • Ahmed Salah Ahmed

    FIBMS, Otolaryngology Specialist/ AL-Yarmouk Teaching Hospital, Main Street/
    Mahela 602/Al-qadsia/Baghdad/Iraq

  • Mustafa Salman Hamed

    FIBMS, Otolaryngology Specialist/ AL-Numan Teaching Hospital, Mahela 310/
    Al-adamiyah/Baghdad/Iraq

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Published

2022-06-24

How to Cite

Does Rhino-genic Headache Improve after Endoscopic Concha Bullosa Surgery in the Adult Patients?. (2022). Indian Journal of Public Health Research & Development, 13(3), 248-253. https://doi.org/10.37506/ijphrd.v13i3.18207