Perceptive analysis of nasal surgery outcomes for headache


  • Sreenivas C. Department of ENT, Sri Ramachandra Medical College, Porur, Chennai, Tamil Nadu
  • Sanjeev Kumar Awasthi Department of ENT, Sharda University, Delhi NCR



sinugenic headache, Diagnostic nasal endoscopy, ethmoturbinal, functional endoscopic sinus surgery, septoplasty


Background: Headache is the most common symptom requiring visit to a medical practitioner, sinus headache is one of the sub types of headache. Sinus related headaches are curable by surgical methods with a view to restore the functions of the maxilla-ethmo-turbinal ventilation. In this background we conducted a prospective study to investigate the perceptive relief of symptom of proven rhinosinugenic headache in patients undergoing functional endoscopic sinus surgery with septoplasty.

Methods: Prospective study, done at a command hospital, Bangalore, a tertiary PG Teaching Hospital during 2010-2011. Even though 200 patients enrolled for the study, only 98 subjects could be assessed at the end of 1 year duration. A patient centric subjective perceptional questionnaire was given preoperatively and then postoperatively on definitive intervals and the patient’s subjective score was tabulated.  

Results: Rhinosinugenic headache is common amongst 36.73% of the population in the age group of 20 to 30 years age group, followed by 25.5% in the 41 to 50 years age group. Gender distribution- 56% of females in the age group of 31 to 50 years are suffering from headache, and 28% of women in the age group of 31 to 40 years. The most common endoscopic findings were bulla ethmoidalis with a prevalence of 37.75%, followed by middle turbinate anomalies of 31.63%.

Conclusions: Endoscopy could not pick up any finding in 8.16% of the study group which was picked up by the non-contrast computerized tomography, perceptive analysis– there was an overall improvement of patient centric headache symptom alleviation of 98% after FESS with septoplasty.

Author Biographies

Sreenivas C., Department of ENT, Sri Ramachandra Medical College, Porur, Chennai, Tamil Nadu

assistant professor, department of ENT

Sanjeev Kumar Awasthi, Department of ENT, Sharda University, Delhi NCR

professor and head, department of ent


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Original Research Articles