J Med Assoc Thai 1997; 80 (8):521

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Functional Endoscopic Sinus Surgery in Patients with Sinugenic Headache
Boonchoo R Mail

Sixteen patients were operated on by functional endoscopic sinus surgery. Their principal
complaint was facial pain or headache which was thought to be of sinugenic origin. These patients
had no osteomeatal complex obstruction on diagnostic nasal endoscopy and also had unremarkable
sinus diseases on computed tomography scan of paranasal sinuses. The operative procedures were
very limited functional endoscopic sinus surgery which included middle meatotomies with
uncinectomies and partial turbinectomies (frontoinferior). Ten patients (62.5%) had no headache
postoperatively, and six patients (37.5%) had a reduction in severity. These patients also had a significant
reduction in severity of associated nasal symptoms (yellow or green nasal discharge,
nasal blockage, postnasal drainage, asthma, allergies). (p

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