HEADACHE CAUSED BY SEPTAL SPUR WITH MUCOSAL CONTACT POINTS

Background: Patients suffering from headache originating from endonasal contact points cannot he easily identified or clearly distinguished from patients with headache caused by other factors. Endonasal contact points can be present in subjects without headache. Material and Methods: This study included 17 patients with contact points caused by septal spur and ipsilateral facial pain and headache. Ten patients were females and 7 were males. Mean age was 30.7±8.54 SD. All patients did not give history and had no endoscopic or CT findings of sinusitis. All patients did not respond to medical treatment of migraine. All the patients were subjected to operative treatment in the form of septoplasty. Results:All the patients had moderate to severe pain preoperatively. Eleven patients were free of pain (65%), 4 with mild pain (24%)and 2 with moderate pain 3 months postoperatively. Ten patients were free of pain (59%). 2 with mild pain (12%) and 5 with moderate pain 12 months postoperatively. Conclusion: The properly selected patients with endonasal contact points causing headache do improve after surgical treatment.