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European Archives of Oto-Rhino-Laryngology

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Open Access 01-06-2021 | Nasal Surgery | Review Article

Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis

Authors: Antonino Maniaci, Federico Merlino, Salvatore Cocuzza, Giannicola Iannella, Claudio Vicini, Giovanni Cammaroto, Jérome R. Lechien, Christian Calvo-Henriquez, Ignazio La Mantia

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2021

Abstract

Purpose

This meta-analysis study was designed to analyze endoscopic surgery’s role in treating rhinogenic contact point headache.

Methods

We performed a comprehensive review of the last 20 years’ English language regarding Rhinogenic contact point headache and endoscopic surgery. We included the analysis papers reporting post-operative outcomes through the Visual Analogue Scale or the Migraine Disability Assessment scale.

Results

We provided 18 articles for a total of 978 RCPH patients. While 777 (81.1%) subjects underwent functional nasal surgery for RCPH, 201 patients (20.9%) were medically treated. A significant decrease from the VAS score of 7.3 ± 1.5 to 2.7 ± 1.8 was recorded (p < 0.0001). At quantitative analysis on 660 patients (11 papers), surgical treatment demonstrated significantly better post-operative scores than medical (p < 0.0001).

Conclusion

At comparison, surgical treatment in patients with rhinogenic contact points exhibited significantly better values at short-term, medium-term, and long term follow up. Endoscopic surgery should be proposed as the choice method in approaching the symptomatic patient.

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Title: Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis
Authors: Antonino Maniaci
Federico Merlino
Salvatore Cocuzza
Giannicola Iannella
Claudio Vicini
Giovanni Cammaroto
Jérome R. Lechien
Christian Calvo-Henriquez
Ignazio La Mantia
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keywords: Nasal Surgery
Headache
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-021-06724-6

At a glance: The STEP trials

Springer Medicine

Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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