Headache is a frequent and common painful state, which affects humans. Headache may remain undiagnosed in spite of detailed examination and elaborate battery of tests. Some of these undiagnosed cases may be of rhinosinugenic origin even when the cause is not suspected on preliminary evaluation. Aim- To evaluate the usefulness of nasal endoscopy in diagnosing and managing sinugenic headache. Methodology-The study includes 100 patients who presented to the OPD of two tertiary level centres during the period of April 2006 to December 2009, selected on systematic sampling, who had symptoms and signs of chronic headache. Results- Among 100 patients had Endoscopic abnormalities, 82 cases showed anatomical/pathological variations ,the commonest cause being. Septal deviation Other changes were enlarged middle turbinate, paradoxical MT , Concha Bullosa. ethmoid infundibulum. Conclusion-The study highlights the importance of the anatomical/pathological abnormalities in the nose and Paranasal sinuses. Variations in endonasal anatomy may be functional or anatomical combination of these variations cause narrowing of OMU, which predisposed patients to persistent symptoms. This study also highlights the importance of the use of cold light nasal endoscopy for diagnosis of sinugenic headache.
Endoscopy, Headache, FESS in Sinugenic Headache.