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Straburzyński M, M Agius A, Boczarska-Jedynak M, Brożek-Mądry E, Dżaman K, Gradek-Kwinta E, Gryglas-Dworak A, Nowaczewska M, Sama A, Smardz J, Tsang HK, Więckiewicz M, Waliszewska-Prosół M. The midfacial segment pain: little known disorder in need of scientific evaluation. Cephalalgia 2024; 44:3331024231226176. [PMID: 38215229 DOI: 10.1177/03331024231226176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2024]
Abstract
Despite its inclusion in the International Classification of Orofacial Pain, tension-type orofacial pain has little support in the scientific literature. However, a similar-in-phenotype orofacial pain perceived in the middle segment of the face has been described by few case series from mostly ear, nose and throat clinics. The authors of these descriptions used the term 'midfacial segment pain'. Patients had no significant sinonasal disorder in these studies, but experienced symmetrical pain perceived mostly over the maxillary and ethmoid sinuses. No aura or autonomic symptoms were present apart from mild nasal congestion or rhinorrhoea in some individuals. This description appears similar to tension-type headache, but with midfacial location. In this viewpoint, we indicate a need to fill this gap in scientific knowledge and propose a multicentre interdisciplinary study that would give a detailed description of this type of orofacial pain.
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Affiliation(s)
- Marcin Straburzyński
- Department of Family Medicine and Infectious Diseases, University of Warmia and Mazury, Olsztyn, Poland
| | - Adrian M Agius
- Department of Otolaryngology, University of Malta, Msida, Malta
| | | | - Eliza Brożek-Mądry
- Department of Otorhinolaryngology, National Institute of Medicine of the Ministry of the Interior and Administration, Warsaw, Poland
| | - Karolina Dżaman
- Department of Otolaryngology, Centre of Postgraduate Medical Education, Warsaw, Poland
| | | | | | - Magdalena Nowaczewska
- Department of Otolaryngology, Head and Neck Surgery and Laryngological Oncology, Bydgoszcz, Poland
| | - Anshul Sama
- Department of Otorhinolaryngology, Nottingham University Hospital, Nottingham, UK
| | - Joanna Smardz
- Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland
| | - Hoo Kee Tsang
- Pain Medicine, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
| | - Mieszko Więckiewicz
- Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland
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Etiology of 'Sinus Headache'-Moving the Focus from Rhinology to Neurology. A Systematic Review. Brain Sci 2021; 11:brainsci11010079. [PMID: 33435283 PMCID: PMC7827425 DOI: 10.3390/brainsci11010079] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 12/31/2020] [Accepted: 01/07/2021] [Indexed: 12/28/2022] Open
Abstract
'Sinus headache and/or facial pain' (SH) is a common complaint encountered by otorhinolaryngologists, neurologists and general practitioners. However, several studies suggested that the majority of those cases may be attributed to primary headaches (i.e., migraine and tension-type headache (TTH). The purpose of this review is to evaluate the etiology of SH. The first part includes cross-sectional studies analyzing the prevalence of respective diagnoses in subjects with SH. The majority of these publications indicate that migraine and TTH are the most prevalent causes of SH, although most of these studies were conducted in a clinical setting. The second part of this review included treatment trials in subjects with SH. The findings from this part of the review show that SH without rhinosinusitis responds well to pharmacotherapy targeted at primary headaches. This observation further supports a neurologic etiology of the majority of SH cases.
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Wilkie MD, Leong SC. Nonsinogenic facial pain and the role of the sino-nasal outcome test. Pain Manag 2015; 5:157-60. [PMID: 25971638 DOI: 10.2217/pmt.15.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Mark D Wilkie
- Division of Rhinology & Skull Base Surgery. Department of Otorhinolaryngology - Head & Neck Surgery, University Hospital Aintree, Longmoor Lane, Liverpool, Merseyside, L9 7AL, UK
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