Nasal and paranasal sinus anatomical variations in patients with rhinogenic contact point headache

Objective: To define anatomical variations that may lead to rhinogenic contact point headache. Methods: Paranasal sinuses CT scan and medical records of sixty-five patients who underwent a successful endoscopic surgery for rhinogenic contact point headache reviewed. Results: Eleven distinct anatomical variations were found in patients with rhinogenic contact point headache. All of them were surgically curable. Conclusion: There are multiple anatomical situations that may lead to rhinogenic contact point headache and each one has its own characteristics. Treatment plan should be personalized for every patient considering the diagnosed anatomical variation. (C) 2012 Elsevier Ireland Ltd. All rights reserved.