Sinus Headache: Differential Diagnosis and an Evidence-Based Approach

Otolaryngol Clin North Am. 2020 Oct;53(5):897-904. doi: 10.1016/j.otc.2020.05.019. Epub 2020 Jul 20.

Abstract

The diagnosis "sinus headache" has been reclassified as "headache attributed to disorder of the nose or paranasal sinuses" by the International Headache Society, but the term is still commonly used by patients and primary care doctors alike. Rhinologic symptoms and headache disorders are common, and they may coexist without a causative relationship. Patients may undergo unnecessary medical interventions because of inadequate understanding of the classifications and management of various headache disorders. Otolaryngologists frequently treat patients with these complaints, and a systematic approach to the differential diagnosis and utilization of a multidisciplinary approach are critical in providing optimal patient care.

Keywords: Chronic rhinosinusitis; Facial pain; Headache; International Classification of Headache Disorders; Rhinosinusitis; Sinus headache; Sinusitis.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Endoscopy
  • Facial Pain / diagnosis
  • Facial Pain / therapy*
  • Headache / classification
  • Headache / diagnosis
  • Headache / therapy*
  • Humans
  • Nose / physiopathology*
  • Otolaryngology
  • Sinusitis / diagnosis
  • Sinusitis / therapy*
  • Tomography, X-Ray Computed
  • Unnecessary Procedures