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In the name of God. HEADACHE AND ENT PROBLEMS. Abtahi S.Hamidreza MD. Otolaryngologist Kashan Univercity Of Medical Science. Paranasal Sinuses. Anatomy Physiology Development. Sinusitis. Prevalence Symptoms Pathogens Predisposing factors Diagnosis X rays CT Scan Endoscopy DDx
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HEADACHE AND ENTPROBLEMS • Abtahi S.Hamidreza MD. • Otolaryngologist • Kashan Univercity Of Medical Science
Paranasal Sinuses Anatomy Physiology Development
Sinusitis Prevalence Symptoms Pathogens Predisposing factors Diagnosis • X rays • CT Scan • Endoscopy DDx Treatment
Rhinosinusitis headache • Diagnostic criteria: pain in head, face, ears or teeth • Clinical imaging evidence of an ARS • Simulataneous onset of headache and rhinosinusitis • Headache lasts < 7 days after remission or successful treatment of ARS
Chronic Rhinosinusitis Major factors • Facial pain / pressure • Facial congestion / fullness • Nasal obstruction • Nasal discharge • Hyposmia • Prulence in nasal cavity • Fever: only in Acute cases
Chronic Rhinosinusitis Headache Fever Halitosis Fatigue Dental pain Cough Ear pain / pressure
Miscellaneous Sphenoid sinusitis Nasal Headache (Rhinogenic Cephalgia)