What are the differential diagnoses and efficacy of management strategies in patients presenting to an otolaryngologist for sinus pressure, pain, or headache?
Background: The management of patients with sinus pressure, pain, fullness, or headache is problematic, because although sinus headaches can result from sinusitis, neurogenic causes, or both, this knowledge is poorly disseminated among patients and physicians. Migraines are commonly misdiagnosed as sinusitis. Symptom-based criteria can be overly sensitive in diagnosing sinusitis and may ignore culpable neurogenic factors.
Explore this issue:April 2015
Study design: Retrospective analysis of 211 patients between 2010 and 2012 at an academic medical center.
Setting: Department of Otolaryngology and the Department of Neurology, Mayo Clinic, Phoenix, Ariz.