Facial pain/headache before and after surgery in patients with nasal polyposis.

Abstract:

CONCLUSION:Endoscopic surgery improved facial pain/headache and physical-psychosocial impacts in patients with nasal polyposis. However, one fifth of patients still experienced residual pain after surgery, requiring neurologic counseling to look for the non-sinonasal cause of their symptoms. OBJECTIVE:Considering the limited amount of literature on facial pain/headache in patients with nasal polyposis, this prospective study assesses facial pain/headache and its impacts on the quality-of-life (QoL) before and after endoscopic surgery. METHODS:Facial pain/headache was assessed, using the DyNaChron questionnaire, in 107 patients with nasal polyposis 1 day prior to surgery and 6 weeks after surgery. All patients were operated on endoscopically on the bilateral ethmoidal labyrinths and olfactory clefts. RESULTS:Moderate or severe facial pain/headache was reported by 50% of the patients before surgery and by 20% after surgery. Post-operatively, 79.44% of patients reported no/very mild pain (vs 47.66% pre-operatively) and 20.56% moderate/severe pain (vs 52.33% pre-operatively). The pain was statistically reduced after surgery among patients with previous surgery (p = 0.0006). The scores of all analysed impacts of pain improved after surgery. However, patients with grade 1 polyps seemed to have less benefit from the surgery for facial pain/headache than those with more severe nasal polyposis.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Nguyen DT,Felix-Ravelo M,Arous F,Nguyen-Thi PL,Jankowski R

doi

10.3109/00016489.2015.1058531

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

1045-50

issue

10

eissn

0001-6489

issn

1651-2251

journal_volume

135

pub_type

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