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Correspondence to Author: Seyyed Hadi Samimi Ardestani, Neda Baghbanian, Leila Sahebi, Elham Saedi Khameneh. 

Otorhinolaryngology Research center, Tehran University of Medical Sciences, Tehran, Iran

DOI: 10.52338/wjogy.2025.4451

Abstract:

Introduction:The aim of this study was to show the effect of endoscopic sinus surgery on headache/facial pain in patients with sinonasal polyposis.
Materials and Methods: Patients with sinonasal polyposis who had not responded to medical therapy and were planned for endoscopic sinus surgery entered this study. Their symptoms, endoscopic examination and CT-scan characteristics were documented by sinonasal outcome test (SNOT-22), Lund-Kennedy and Lund-Mackay scoring systems, respectively. If they suffered from headache/facial pain, the HIT-6 questionnaire was filled, too and they were referred for neurological consult. The same data were gathered 6 and 12 months postoperatively except for the CT-scan.
Results: fifty-six patients with sinonasal polyposis underwent endoscopic sinus surgery. Forty-three were men and 13 women with a mean age of 38.29(range: 18-67 years). 21.4% had headache (58.3% sinus headache, 25% migraine and 16.7% other types). The score of SNOT-22 preoperatively was significantly different between headache-positive and headache-negative patients. In addition, the headache-positive patients’ symptoms changed over 6 and 12 months postoperatively much more significantly than those without headache (p-value<0.046).
Conclusion: Headache was present in 21.4% of our patients undergoing endoscopic sinus surgery of whom 58% had sinus headache. They benefited from surgery much more than the ones without headache.

Keywords: rhinosinusitis; polyposis; facial pain; headache; HIT-6 questionnaire; endoscopic sinus surgery.

Citation:

Dr.Seyyed Hadi Samimi Ardestani ,Evaluation Of Headache/Facial Pain Before And After Endoscopic Sinus Surgery In Patients With Sinonasal Polyposis. World Journal of Otolaryngology 2025.