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Predictors of Non-Rhinogenic Facial Pain or Pressure in Otolaryngology Clinic.
Altonji, Samuel; Del Risco, Amanda; Kilpatrick, Kayla W; Kuchibhatla, Maragatha; Abi Hachem, Ralph; Jang, David W.
Afiliação
  • Altonji S; Department of Head and Neck Surgery & Communication Sciences, Duke University, Durham, North Carolina, USA.
  • Del Risco A; Duke University School of Medicine, Durham, North Carolina, USA.
  • Kilpatrick KW; Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
  • Kuchibhatla M; Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
  • Abi Hachem R; Department of Head and Neck Surgery & Communication Sciences, Duke University, Durham, North Carolina, USA.
  • Jang DW; Department of Head and Neck Surgery & Communication Sciences, Duke University, Durham, North Carolina, USA.
Otolaryngol Head Neck Surg ; 170(5): 1314-1318, 2024 May.
Article em En | MEDLINE | ID: mdl-38219742
ABSTRACT

OBJECTIVES:

Identify demographic and clinical characteristics that may help differentiate non-rhinogenic facial pain or pressure (NRFP) from sinusitis. STUDY

DESIGN:

Retrospective single-institution study.

SETTING:

Tertiary Care Center Rhinology Clinic.

METHODS:

All patients presenting with a complaint of facial pain or pressure over a 3-year period were included. Patients were categorized into either NRFP or sinusitis groups based on computed tomography imaging and nasal endoscopy. Data pertaining to demographics, history, and SNOT-22 questionnaire domains were compared via univariate analysis as well as logistic regression with backwards variable selection.

RESULTS:

A total of 296 patients met inclusion criteria, of which 128 had NRFP and 168 had sinusitis. A significantly greater percentage of patients in the NRFP group were women of childbearing age (40.6% vs 28.0%, P = .02). Backwards variable selection resulted in a model with four variables predicting a diagnosis of NRFP-female sex (odds ratio [OR] = 2.998, P < .0001), no history of prior sinonasal surgery (OR = 0.340 for history vs no history, P < .01), low nasal domain score (OR = 0.551, P < .0001), and high ear/facial domain score (OR = 1.453, P < .01).

CONCLUSION:

Accurately identifying patients with NRFP at initial presentation based on history would help direct patients to the appropriate care pathway and prevent ineffective treatments such as antibiotics and sinus procedures. Our findings suggest that the suspicion for NRFP should be higher in women of child-bearing age as well as patients with greater ear/facial symptoms or lesser nasal symptoms.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sinusite / Dor Facial Tipo de estudo: Guideline / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sinusite / Dor Facial Tipo de estudo: Guideline / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article