Korean J Otorhinolaryngol-Head Neck Surg.  2014 Sep;57(9):623-625. 10.3342/kjorl-hns.2014.57.9.623.

A Case of Middle Turbinate Headache Syndrome Caused by Middle Turbinate Concha Bullosa Included Fungal Ball

• Nam GY
• Choi G
• Kim JY
• Kwon JH

• KMID: 1726631
• DOI: http://doi.org/10.3342/kjorl-hns.2014.57.9.623

Abstract

Middle turbinate headache syndrome was the first reported by Wolff and the incidence is rare. It is caused by pneumatization or hypertrophy of the middle turbinate contacts between the nasal septum and the lateral nasal wall, resulting in headache in the periorbital region. The diagnosis is made by anterior rhinoscopy, computerized tomography, and confirmation by the lidocaine test. Treatment is achieved by relieving the contact point by medical or surgical means. We report a 51-year-old female patient who suffered from left periorbital pain, and left posterior nasal drip for 30 years. The patient had middle concha bullosa which contained a fungal ball that caused periorbital headache. Anterior ethmoidectomy, middle meatalantrostomy, and middle concha bullosectomy were performed using nasal endoscopy, and subsequently the symptoms disappeared. We report on this case of middle turbinate headache syndrome and the successful results of endoscopic surgical treatment.

Keyword

Middle turbinate headache syndrome

MeSH Terms

Diagnosis
Endoscopy
Female
Headache
Headache Disorders*
Humans
Hypertrophy
Incidence
Lidocaine
Middle Aged
Nasal Septum
Turbinates*
Lidocaine