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Review
. 2022 Feb 1;30(1):63-67.
doi: 10.1097/MOO.0000000000000779.

Sinus headache: changing the treatment paradigm

David W Jang  1 , Frederick A Godley  2 , Ralph Abi Hachem  1
Affiliations
Review

Sinus headache: changing the treatment paradigm

David W Jang et al. Curr Opin Otolaryngol Head Neck Surg. .

Abstract

Purpose of review: Although the majority of patients with sinus headache do not have rhinosinusitis, many patients will unnecessarily undergo work-up and treatment for rhinosinusitis. This leads to a significant cost burden to the healthcare system. In the era of value-based care, more effective management paradigms need to be developed for sinus headache.

Recent findings: Recent efforts to classify nonrhinogenic headache, namely the International Classification of Orofacial Pain, have served as an important step in advancing our understanding of this heterogeneous condition. In addition, a review of the literature points to certain clinical features that may allow for the identification of nonrhinogenic headache based on history.

Summary: A greater understanding of nonrhinogenic headache as well as innovative tools to differentiate rhinogenic from nonrhinogenic headache are needed to change the paradigm in the management of patients with sinus headache.

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