Dr. Clerico is in private practice in Kingston, Pa.
Pneumatized Superior Turbinate as a Cause of Referred Migraine Headache
Version of Record online: 1 JUN 2009
Copyright © 1996 The Triological Society
Volume 106, Issue 7, pages 874–879, July 1996
How to Cite
Clerico, D. M. (1996), Pneumatized Superior Turbinate as a Cause of Referred Migraine Headache. The Laryngoscope, 106: 874–879. doi: 10.1097/00005537-199607000-00017
- Issue online: 1 JUN 2009
- Version of Record online: 1 JUN 2009
- Manuscript Accepted: 13 FEB 1996
Three patients with typical (common) migraine unresponsive to conventional therapy were evaluated with complete otolaryngologic examination, diagnostic nasal endoscopy, and coronal sinus computed tomography (CT). Enlargement of the superior turbinate due to pneumatization, with accompanying mucosal contact, was found in each case. Application of topical or injected anesthetic to the superior turbinate lessened or relieved headache, and subsequent endoscopic sinonasal surgery succeeded in providing significant headache relief (follow-up of 6 to 14 months). This is the first report of superior turbinate variations/abnormalities causing migraine, or indeed any type of headache. A discussion of the mechanism of referred pain from mucosal contact is offered after a discussion of each case.
Laryngoscope, 106:874-879, 1996