Analysis of Headache Outcomes in Patients Treated with Endoscopic Sinus Surgery

Abstract

Objectives:

Assess the headache outcomes for patients treated with targeted endoscopic sinus surgery. Study Design: Prospective, non-randomized.

Methods:

Consecutive patients (n=50) presenting to our clinic with headache as a feature of their presenting symptoms were recruited. Pre-operative SNOT 20, HIT-6 (Headache Impact Test) scores, and computed tomography (CT) analysis of multiple radiological parameters was calculated and compared to post-operative measures.

Results:

Preliminary results for our cohort revealed an average pre-operative HIT-6 score of 61 and SNOT-22 score of 49. Average post-operative HIT-6 score was 44 and SNOT-22 score 19 (p<.0001). Patients had an average of 3 contact points identified on CT and average Lund-Mackay score of 5. Median follow-up was 3 months.

Conclusions:

Targeted endoscopic sinus surgery offers a reliable therapeutic modality in patients with headache as a feature of their presenting symptoms. Correlative CT findings and surgical technique are discussed.