ABSTRACT
The interplay between head pain caused by sinus disease and primary headaches is complex. Classification of secondary headaches, attributed to disorders of the nose or paranasal sinuses has been recently updated. New treatments including office- based procedures are emerging for patients with chronic sinusitis. This paper briefly reviews sinus disease and headache.
Subject(s)
Facial Pain/etiology , Headache Disorders, Secondary/etiology , Paranasal Sinus Diseases/complications , Paranasal Sinuses/pathology , Turbinates/pathology , Diagnosis, Differential , Facial Pain/drug therapy , Facial Pain/pathology , Female , Headache Disorders, Secondary/drug therapy , Headache Disorders, Secondary/pathology , Humans , Male , Paranasal Sinus Diseases/drug therapy , Paranasal Sinus Diseases/pathology , Paranasal Sinuses/anatomy & histology , Turbinates/anatomy & histologyABSTRACT
A retrospective chart review of children who had rigid esophagoscopy for potential foreign body ingestion from 1998 to 2001 was conducted at Children's Hospital of Michigan Detroit. All pediatric patients less than 11 years of age who presented with suspected foreign body ingestion in a hospital setting over a 4-year period were retrospectively studied. Patient characteristics noted included age, sex and clinical presentation. Pre-operative radiographic findings, esophagoscopy findings, clinical presentations and types of foreign bodies were recorded. A history compatible with foreign body ingestion dictates diagnostic endoscopy with or without radiographic confirmation, and an acceptable rate of performing esophagoscopy without finding a foreign body was found to be 6.2%.