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Subject Area

Pediatrics

Article Type

Original Study

Abstract

Objective Identification of diagnosis and treatment of headache due to nasal pathology using subjective and objective criteria. Background Headache is a very common manifestation that is nearly universal in the course of everyone's life, due to nasal pathology (nasal headache), or due to other causes (nonrhinogenic headache). Patients and methods This prospective study was conducted among 225 patients with a symptomatic headache. All studied patients underwent otorhinolaryngologic examination and computed tomography scan for nasal/paranasal sinuses. After consultation with a neurologist, ophthalmologist, dentist, internist, and other related specialist, the patients were divided into two groups, A and B, as regards the origin of headache. Group A included nonrhinogenic headache cases, while group B included nasal headache cases (represent the core of this study). The mean, SD, and χ2-test was performed by the Statistical Package for the Social Sciences program for Windows, version 20.P values of less than 0.05 were considered statistically significant. Results Group A included 125 nonrhinogenic headache cases, while group B included 100 nasal headache cases which were classified according to the cause of nasal headache regarding age and sex distribution, associated symptoms, response to medical and surgical treatment, whereasP values were 0.014, 0.155, less than 0.0001, less than 0.0001, and 0.195, respectively. Conclusion Nasal pathology is the most common cause of headaches. Rhinosinusitis, allergic rhinitis, and deviated nasal septum, respectively, are the most common causes of nasal headaches.

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