Korean J Otorhinolaryngol-Head Neck Surg.  2014 Jun;57(6):407-410. 10.3342/kjorl-hns.2014.57.6.407.

A Case of Mucosal Contact Point Headache Caused by Septal Spur

• Cho W
• Eom TW
• Kim JH

• KMID: 2277813
• DOI: http://doi.org/10.3342/kjorl-hns.2014.57.6.407

Abstract

Headaches attributed to disorders of the sinonasal region make their diagnosis and treatment sometimes challenging. Contact point between opposing mucosal surfaces in the nasal cavity can cause headache by a mechanism of referred pain in the distribution of trigeminal nerve. The most common anatomic abnormality of intranasal contact point is the diverse pattern of septal deviation in association with turbinate deformity or hypertrophy. In the absence of other pathological findings, the evaluation for intranasal contact points should be considered. We herein report that a patient, suffering from headache and periorbital pain refractory to medical treatment, experienced a complete abolition of pain after surgical correction of mucosal contact point in the nasal cavity.

Keyword

Headache; Mucosal contact point; Septal spur

MeSH Terms

Congenital Abnormalities
Diagnosis
Headache*
Humans
Hypertrophy
Nasal Cavity
Pain, Referred
Trigeminal Nerve
Turbinates