A PROSPECTIVE STUDY OF ASSOCIATION OF ANTERIOR ETHMOIDAL NERVE SYNDROME (SLUDER'S NEURALGIA) WITH NASAL SEPTAL SPUR AND ITS MANAGEMENT

Background: Anterior ethmoidal nerve syndrome is headache resulting from irritation of the terminal branches of the anterior ethmoidal nerve. The headache arises when the septal spur compresses against the middle turbinate or the lateral nasal wall. Here we studied the association of anterior ethmoidal nerve syndrome (Sluder's neuralgia) with nasal septal spur and its management. A prospective observational study carried out on 31 patients Methods: who ful?lled the clinical diagnostic criteria. The patients were treated surgically. The outcomes of surgical treatment Results: were quite promising with 29 patients reporting in improvement in pain after surgery out of the 31 surgeries performed. Conclusion: The diagnosis requires a strong clinical suspicion and appropriate evaluation including nasal endoscopy, scan and anaesthesia of the suspected point of contact

A Case of Mucosal Contact Point Headache Caused by Septal Spur / 대한이비인후과학회지

Headaches attributed to disorders of the sinonasal region make their diagnosis and treatment sometimes challenging. Contact point between opposing mucosal surfaces in the nasal cavity can cause headache by a mechanism of referred pain in the distribution of trigeminal nerve. The most common anatomic abnormality of intranasal contact point is the diverse pattern of septal deviation in association with turbinate deformity or hypertrophy. In the absence of other pathological findings, the evaluation for intranasal contact points should be considered. We herein report that a patient, suffering from headache and periorbital pain refractory to medical treatment, experienced a complete abolition of pain after surgical correction of mucosal contact point in the nasal cavity.

Septoplastía endoscópica / Endoscopic septoplasty

La septoplastía es uno de los procedimientos quirúrgicos más frecuentes en otorrinolaringología, cuya principal indicación es la presencia de desviación septal nasal significativa. Este enfoque quirúrgico ha evolucionado en forma considerable en las últimas décadas, siendo la septoplastía endoscópica la técnica más reciente. Esta técnica moderna, basada en la septoplastía convencional, ha mostrado beneficios en cuanto al procedimiento, resultados y complicaciones. El objetivo de este artículo es revisar las indicaciones, técnica, ventajas y principales resultados de la septoplastía endoscópica.

Septoplasty is one of the most common surgical procedures in otolaryngology, whose main indication is the presence of significant nasal septal deviation. This surgical approach has evolved considerably in recent decades, and endoscopic septoplasty is the most recent technique. This modern technique based on conventional septoplasty has shown several benefits in terms of procedure, results and complications. The aim of this article is to review the indications, techniques, advantages and main results of endoscopic septoplasty.

Observation of the therapeutic efficacy of nasal septoplasty of nasal septal spur, ridge and/or elevated deviation in 134 cases under intranasal endoscopy / 第三军医大学学报

Objective To observe the therapeutic efficacy of different operative methods for nasal septal spur/ridge elevated deviation. Methods A total of 134 patients with nasal septal spur/ridge elevated deviation were randomly divided into endoscopic surgery group and control group. Patients in the endoscopic group were treated with nasal septoplasty under intranasal endoscopy, while those in the control group were treated with traditional submucous correction of nasal septum. Therapeutic effects and causes of operative success were analyzed. Results The therapeutic efficacy in endoscopic surgery group was significantly superior to that in the control group ( P