Sinus headache: changing the treatment paradigm.

Curr Opin Otolaryngol Head Neck Surg

Department of Head and Neck Surgery & Communication Sciences, Duke University, Durham, North Carolina.

Published: February 2022

AI Article Synopsis

  • Many patients with sinus headaches mistakenly receive treatment for rhinosinusitis, leading to unnecessary costs and burdens on the healthcare system.
  • Recent advancements, particularly the International Classification of Orofacial Pain, have improved our understanding of nonrhinogenic headaches and their distinguishing features.
  • A better grasp of nonrhinogenic headaches and new methods to differentiate them from rhinogenic ones are essential for improving patient management and care strategies.

Article Abstract

Purpose Of Review: Although the majority of patients with sinus headache do not have rhinosinusitis, many patients will unnecessarily undergo work-up and treatment for rhinosinusitis. This leads to a significant cost burden to the healthcare system. In the era of value-based care, more effective management paradigms need to be developed for sinus headache.

Recent Findings: Recent efforts to classify nonrhinogenic headache, namely the International Classification of Orofacial Pain, have served as an important step in advancing our understanding of this heterogeneous condition. In addition, a review of the literature points to certain clinical features that may allow for the identification of nonrhinogenic headache based on history.

Summary: A greater understanding of nonrhinogenic headache as well as innovative tools to differentiate rhinogenic from nonrhinogenic headache are needed to change the paradigm in the management of patients with sinus headache.

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Source
http://dx.doi.org/10.1097/MOO.0000000000000779DOI Listing

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