engleski

Results of Operative Treatment of the Patients with Rhinosinusogenic Headache Diagnosticed with Irrigation with Hypertonic Buffered Saline Solution.

INTRODUCTION: We started with obligatory nasal irrigation in all our patients who had normal CT sean finding and headaehe as a symptom. Our patients had improvement of their headaehe after irrigation with hypertonie buffered saline. In those patients in whom after a period of two months headaehes have reaehed intensity and frequeney as before therapy surgery was performed. MATERIAL: 72 patients with CT sean findings without criteria for chronic rhinosinusitis who two months after the treaiment with buffered hypertonic saline two times daily had recurrence of their headache, were surgically treated by endonasal endoscopic surgery. Mean follow up was 14.24 months and recorded data included average headache frequency, average need for analgesics and average headache score indicated on visual analogue scale (VAS) graduated from O to 100 (O for none and 100 for very strong pain), before the therapy, during the therapy and after surgery. RESULTS: Average headache frequency before therapy was 4.34, during therapy 2.12 and after surgery 0.58 (p=O.OOO). Average need for analgesics before therapy was 3.18, during therapy 1.11, and after surgery 0.58 (p=O.OOO). Average headache score indicated on visual analogue scale (VAS) before therapy was 71.53, during therapy 42.22, and after the surgery 16.25 (p=O.OOO). CONCLUSION: Our resuits are showing statisticaly significant decrease in headache frequency, need for analgesics and headache intensity score in our patients operated for the headache of rhinosinusogenic origin in whom diagnostic criteria was the treatment with buffered hypertonic saline. When we have a patient with CT sean with no criteria for chronic sinusitis and with headache, treatment with buffered hypertonic saline is a treatment of choi ce to distinguish weather or not is the headache of rhinosinusogenic origin and a powerful tool to indicate and perform successful surgery relieving the patient from their troublesome symptoms.

Rhinosinusogenic Headache ; Surgery

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