• Home
  • Practice Focus
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
    • How I Do It
    • TRIO Best Practices
  • Business of Medicine
    • Health Policy
    • Legal Matters
    • Practice Management
    • Tech Talk
    • AI
  • Literature Reviews
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Career
    • Medical Education
    • Professional Development
    • Resident Focus
  • ENT Perspectives
    • ENT Expressions
    • Everyday Ethics
    • From TRIO
    • The Great Debate
    • Letter From the Editor
    • Rx: Wellness
    • The Voice
    • Viewpoint
  • TRIO Resources
    • Triological Society
    • The Laryngoscope
    • Laryngoscope Investigative Otolaryngology
    • TRIO Combined Sections Meetings
    • COSM
    • Related Otolaryngology Events
  • Search

Wrong Diagnosis of Sinus Headache Can Lead to Inappropriate Treatment

by Terry Hartnett • June 1, 2006

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version

A consensus panel of physicians who treat patients reporting sinus and facial pain strongly recommend the use of all diagnostic tools available to determine the root cause of the headache-whether it is neurological or physiological, migraine or sinus. The physicians, including two otolaryngologists, four neurologists, and two allergists writing in an article published in Otolaryngology-Head and Neck Surgery (2006; 134(3):516-523), also agreed that the wrong diagnosis can lead to inappropriate treatment or lack of treatment.

You Might Also Like

  • Triptans Prove Helpful in Treating ‘Sinus Headaches
  • Functional Nasal Surgery Relieves Chronic Headache in Some Patients
  • Interdisciplinary Care Vital for Patients with Sinus Pressure, Pain, Headache
  • WATCH THIS: Primary Headache Syndrome vs. Chronic Rhinosinusitis
Explore This Issue
June 2006

Multidisciplinary Effort, Diverse Opinions

The consensus panel met in December 2003 to assess the current state of diagnosis and treatment for sinus headache. Although these physicians came together on the overall need for better diagnosis, they continue to have diverse opinions on the cause of these headaches.

The key point of contention is highlighted in the article. Many sinus headaches are migraines, said Michael Setzen, MD, Clinical Associate Professor of Otolaryngology at New York University School of Medicine in New York City and Chief of the Rhinology Section at North Shore University Hospital in Manhasset, NY. A significant proportion of what we now think of as sinus headaches are indeed migraine headaches, he added.

The ENT physician is obligated to rule out sinus as the cause of a headache. – Neil Bhattacharyya, MD

Headache specialists consider sinus headache to be relatively rare, even when there is demonstrable noninfectious sinus inflammation, wrote Dr. Setzen and his co-authors from the consensus panel. Otolaryngologists and allergists, who frequently evaluate patients complaining of headache and rhinogenic symptoms, recognize that sinus headache is often migraine and consider many additional pathologic disorders in the differential diagnosis of a patient experiencing recurrent episodes of sinus headache.

Dr. Setzen contends that the rhinogenic headache is more serious than what might be typically thought of as a sinus headache. He argues it may be a deviated septum with bone spurs. This condition is not routinely diagnosed and the patient is unlikely to get better without proper treatment, he added.

The Diagnostic Process

The ENT physician is obligated to rule out sinus as the cause of a headache, said Neil Bhattacharyya, MD, Associate Professor of Otology and Laryngology at Brigham and Women’s Hospital in Boston, Mass. There is wide variability in symptoms and manifestation of chronic sinusitis, he added. Everyone who has blocked sinuses will not have a headache and every headache is not a sinus headache. But the pendulum is swinging far beyond this to say that there is no such thing as a sinus headache, Dr. Bhattacharyya argues.

Pages: 1 2 3 | Single Page

Filed Under: Departments, Head and Neck, Medical Education, Practice Focus, Rhinology Tagged With: CT, diagnosis, headache, headaches, medical errors, rhinosinusitis, surgery, testing, treatmentIssue: June 2006

You Might Also Like:

  • Triptans Prove Helpful in Treating ‘Sinus Headaches
  • Functional Nasal Surgery Relieves Chronic Headache in Some Patients
  • Interdisciplinary Care Vital for Patients with Sinus Pressure, Pain, Headache
  • WATCH THIS: Primary Headache Syndrome vs. Chronic Rhinosinusitis

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

The Triological SocietyENTtoday is a publication of The Triological Society.

Polls

Do you use AI-powered scribes for documentation?

View Results

Loading ... Loading ...
  • Polls Archive

Top Articles for Residents

  • Applications Open for Resident Members of ENTtoday Edit Board
  • How To Provide Helpful Feedback To Residents
  • Call for Resident Bowl Questions
  • New Standardized Otolaryngology Curriculum Launching July 1 Should Be Valuable Resource For Physicians Around The World
  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Popular this Week
  • Most Popular
  • Most Recent
    • How to: Positioning for Middle Cranial Fossa Repair of Superior Semicircular Canal Dehiscence

    • Endoscopic Ear Surgery: Advancements and Adoption Challenges 

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Complications for When Physicians Change a Maiden Name

    • The Importance of Time Away
    • Endoscopic Ear Surgery: Advancements and Adoption Challenges 
    • Reflections from a Past President of the Triological Society
    • ENT Surgeons Explore the Benefits and Challenges of AI-Powered Scribes: Revolutionizing Documentation in Healthcare
    • How To: Open Expansion Laryngoplasty for Combined Glottic and Subglottic Stenosis

Follow Us

  • Contact Us
  • About Us
  • Advertise
  • The Triological Society
  • The Laryngoscope
  • Laryngoscope Investigative Otolaryngology
  • Privacy Policy
  • Terms of Use
  • Cookies

Wiley

Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1559-4939