Rhinologic aspects related to causation of headache are disussed The information contained in the presentation is based on the personal experience and cases collected at Choithram Hospital Indore over the last 20 years. It is intended for the use of Medical students ENT post graduates. The views expressed are purely on personal opinion. viewers can make their own opinion. For any confusion please contact sole author. Everybody is allowed to copy or download the material best suited to him. I am not responsible for any controversies arising out of the presentation. For any suggestions or corrections you may please contact phatak_shrikant@yahoo.in

1. Headache ENT Perspective

2. Headache ENT PerspectiveHeadache ENT Perspective
Dr. shrikant Phatak
heaD of ent DePtt
Choithram hosPital
& researCh Center
inDore

3. Headache ENT PerspectiveHeadache ENT Perspective
►Pain is known & feared by all.Pain is known & feared by all.
►Objective assessment not possibleObjective assessment not possible
►Subjective assessment by Visual AnalogueSubjective assessment by Visual Analogue
ScaleScale

4. Headache ENT PerspectiveHeadache ENT Perspective
► TrigeminalTrigeminal
► GlossopharyngealGlossopharyngeal
► VagusVagus

5. Headache ENT PerspectiveHeadache ENT Perspective

6. Headache ENT PerspectiveHeadache ENT Perspective

7. Headache EvaluationHeadache Evaluation
►A good clinicalA good clinical
historyhistory
► MeticulousMeticulous
examination .examination .
►Topical XylocaineTopical Xylocaine
►Nasal EndoscopyNasal Endoscopy
►RadiologicalRadiological
investigationsinvestigations

8. Headache ENT PerspectiveHeadache ENT Perspective
Rhinolith left nostrilRhinolith left nostril RhinolithRhinolith

9. Headache ENT PerspectiveHeadache ENT Perspective
DNS left HazyDNS left Hazy
sinusessinuses DNS leftDNS left

10. Headache ENT PerspectiveHeadache ENT Perspective
Air shadow inAir shadow in
VentriclesVentricles
Post traumaPost trauma
PneumocephalusPneumocephalus

11. Headache ENT PerspectiveHeadache ENT Perspective
► CT/MRI AdvantagesCT/MRI Advantages
► Normal AnatomicalNormal Anatomical
VariationsVariations
► Relation with theRelation with the
surrounding structuressurrounding structures
► Pathology if anyPathology if any

12. Headache ENT PerspectiveHeadache ENT Perspective
Septal wideningSeptal widening
(Haemaoma)(Haemaoma) Septal wideningSeptal widening

13. Headache ENT PerspectiveHeadache ENT Perspective
Friction Points SpurFriction Points Spur Friction Points SpurFriction Points Spur

14. Headache ENT PerspectiveHeadache ENT Perspective
Bilateral ConchaBilateral Concha Concha bullosa & DNSConcha bullosa & DNS

15. Pediatric Headache :ENT PerspectivePediatric Headache :ENT Perspective
Bilateral ConchaBilateral Concha
Hazy SinusHazy Sinus Concha bullosa & DNSConcha bullosa & DNS

16. Headache ENT PerspectiveHeadache ENT Perspective

17. Headache ENT PerspectiveHeadache ENT Perspective
► Paradoxical MTParadoxical MT ► Paradoxical MTParadoxical MT

18. Headache ENT PerspectiveHeadache ENT Perspective
Hypertrophied ITHypertrophied IT Lamellar ConchaLamellar Concha

19. Headache ENT PerspectiveHeadache ENT Perspective
Pneumatised Uncinates Concha DNSPneumatised Uncinates Concha DNS
Haller cellHaller cell

20. Headache ENT PerspectiveHeadache ENT Perspective

21. Headache ENT PerspectiveHeadache ENT Perspective
Frontal SinusitisFrontal Sinusitis Sphenoid SinusitisSphenoid Sinusitis

22. Headache ENT PerspectiveHeadache ENT Perspective

23. Headache ENT PerspectiveHeadache ENT Perspective

24. Headache ENT PerspectiveHeadache ENT Perspective

25. Headache ENT PerspectiveHeadache ENT Perspective

26. Headache ENT PerspectiveHeadache ENT Perspective
►Headache is very confusing symptomHeadache is very confusing symptom
►No One is PerfectNo One is Perfect
►There can always be misinterpretations soThere can always be misinterpretations so
let there be a team –work for a patient oflet there be a team –work for a patient of
headache.headache.

27. Thank you for kind attentionThank you for kind attention