[Clinical observation of simple rhinologic headache due to rhinal structural abnormalities].

OBJECTIVE: To analyze the causes and evaluate the therapies for simple rhinologic headache resulting from rhinal structural abnormalities. METHOD: A retrospective analysis of 62 cases of simple rhinologic headache was conducted. All the patients were examined by high-resolution CT and nasal endoscopy to identify the anatomic structural abnormality in the nasal cavity. After establishment of the diagnosis, the nasal abnormalities were corrected by nasal endoscopic surgery. RESULT: Of all the cases, 46 were cured, 12 responded favorably to the treatment, and 4 failed to respond possibly due to multiple causes of the headache and misdiagnosis. CONCLUSION: High-resolution CT combined with nasal endoscopy may improve the diagnosis of simple rhinologic headache and nasal endoscopic surgery may serve as an effective modality for its treatment by correcting the nasal structural abnormalities.

[Nasal endoscopy combined with multiple radiofrequency for perennial allergic rhinitis].

OBJECTIVE: To evaluate the therapeutic effects of nasal endoscopic surgery combined with multiple radiofrequency in the treatment of perennial allergic rhinitis. METHODS: Sixty-three patients with perennial allergic rhinitis whose symptoms failed to be controlled by medication received nasal endoscopic surgery for submucous resection of the nasal septum combined with radiofrequency ablation of the bilateral sphenopalatine foramen, anterior ethmoidal nerve and inferior nasal concha. RESULT: One month after operation, the rate of excellent recovery was 92.1% (58/63), efficacy rate of 7.9% (5/63), and total efficacy rate of 100%, which was 88.9% (56/63), 7.9% (5/63), and 96.8% (61/63) 1 year after operation, respectively, with 2 patients (3.2%) of the patients failed to respond to the treatment. Two years after the operation, the excellent rate, efficacy rate, and total effective rate was 82.6% (52/63), 12.7% (8/63), and 95.2% (60/63), respectively, with 3 patients failed to obtain good recovery. CONCLUSION: Nasal endoscope combined with radio frequency may achieve good therapeutic effects on perennial allergic rhinitis with less adverse effects.