Facial pain: Sinus or not?

Stefano Settimi, Gaetano Paludetti, Eugenio De Corso, Dario Antonio Mele, Alessandra Salvati, M. Kar, E. Cantone, N. Bayar Muluk, C. Cingi

Risultato della ricerca: Contributo in rivistaArticolo in rivista

7 Citazioni (Scopus)

Abstract

Facial pain remains a diagnostic and therapeutic challenge for both clinicians and patients. In clinical practice, patients suffering from facial pain generally undergo multiple repeated consultations with different specialists and receive various treatments, including surgery. Many patients, as well as their primary care physicians, mistakenly attribute their pain as being due to rhinosinusitis when this is not the case. It is important to exclude non-sinus-related causes of facial pain before considering sinus surgery to avoid inappropriate treatment. Unfortunately, a significant proportion of patients have persistent facial pain after endoscopic sinus surgery (ESS) due to erroneous considerations on aetiology of facial pain by physicians. It should be taken into account that neurological and sinus diseases may share overlapping symptoms, but they frequently co-exist as comorbidities. The aim of this review was to clarify the diagnostic criteria of facial pain in order to improve discrimination between sinogenic and non-sinogenic facial pain and provide some clinical and diagnostic criteria that may help clinicians in addressing differential diagnosis.
Lingua originaleEnglish
pagine (da-a)485-496
Numero di pagine12
RivistaActa Otorhinolaryngologica Italica
Volume38
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Cranial neuralgia
  • Facial pain
  • Headache
  • Migraine
  • Non-rhinogenic
  • Rhinogenic

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