Prevalence of sinusitis and mastoiditis in headache

Year 2013, Volume: 3 Issue: 3, 146 - 149, 01.09.2013

Cahit Polat Murat Baykara , Salim Yüce İsmail Önder Uysal Mansur Doğan

https://doi.org/10.2399/jmu.2013003008

Abstract

Objective: To analyze the ratio of paranasal sinusitis and mastoid air cell pathologies in patients presenting with complaints of headache in the Eastern Anatolia Region of Turkey. Methods: A total of 2750 individuals presenting with complaints of headache and underwent cranial computed tomography and brain magnetic resonance imaging between 2006 and 2010 were included in the present study. Radiological examinations were analyzed for sinusitis and mastoditis. Results: Mastoid air cells were found to be infected in 211 (7.7%) of 2750 cases included in the study, they were not infected in the remaining 2539 (92.3%) cases. Paranasal sinuses were not infected in 2516 (91.5%) cases and infected in 234 (8.5%) cases. Conclusion: Contrary to the popular belief, considering sinusitis as the source of headache in a person presenting with such a complaint would not be the right thing to do. Presumed prevalence of sinusitis and mastoiditis in the Eastern Anatolia Region of Turkey is consistent with the data reported in the literature.

Keywords

Headache, paranasal sinusitis, mastoid air cells, radiology

Baş ağrısında sinüzit ve mastoidit prevalansı

Abstract

Amaç: Bu çalışmanın amacı Türkiye'nin Doğu Anadolu Bölgesi'nde baş ağrısı şikayeti ile baş vuran hastalardaki, paranazal sinüs ve mastoid hücre patolojisi oranını analiz etmektir. Yöntem: Çalışmaya 2006-2010 yılları arasında baş ağrısı şikayeti ile başvuran ve bu nedenle kraniyal bilgisayarlı tomografi ve beyin manyetik rezonans görüntülemesi yapılan 2750 birey alındı. Radyolojik tetkikler incelenerek sinüzit ve mastoidit yönüyle analiz edildi.di. Bulgular: Çalışmaya aldığımız 2750 vakanın 211'inde (%7.7) mastoid hücreler enfekte olarak bulunurken 2539'unda (%92.3) temiz olarak bulundu. Paranazal sinüsler 2516 vakada (%91.5) temiz iken 234 vakada (%8.5) ise enfekte idi. Sonuç: Toplumda sanılanın aksine baş ağrısı şikayeti ile gelen hastada ilk planda sinüzit düşünmek çok yanlış olacaktır. Türkiye'nin Doğu Anadolu Bölgesi için beklenen sinüzit ve mastoidit sıklığı literatürdeki diğer veriler ile uyumludur.

Keywords

Baş ağrısı, paranazal sinüsler, mastoid hücreler, radyoloji

References

• Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disor- ders, cranial neuralgias and facial pain. Cephalalgia 1988;8 Suppl 7:1-96.
• Silberstein SD, Saper JR, Freitag FG. Migraine; diagnosis and treatment. In: Silberstein SD, Lipton RB, Dalessio DJ, editors. Wolff’s headache and other pain. Oxford: Oxford University Press; 2001. p. 121-237.
• Olesen J, Steiner TJ. The International classification of headache disorders, 2nd edn (ICDH-II). J Neurol Neurosurgery Pschiatry 2004;75:808-11.
• Clinch CR: Evaluation of acute headaches in adults. Am Fam Physician 2001;63:685-92.
• Jafek BW, Stark AK. KBB’nin sırları. Çev. Ed. Ç. Kaleli. ‹stanbul: Nobel Matbaacılık; 2002.
• Aykut M. Sinonazal varyasyonlar ve BT. Uzmanlık Tezi. Sivas: Cumhuriyet Üniversitesi Tıp Fakültesi; 1994.
• Bayramo¤lu I, Ardiç FN, Kara CO, Ozüer MZ, Katircio¤lu O, Topuz B. Importance of mastoid pneumatization on secretory oti- tis media. Int J Pediatr Otorhinolaryngol 1997;40:61-6.
• Sadé J, Fuchs C. A comparison of mastoid pneumatization in adults and children with cholesteatoma. Eur Arch Otorhinolaryngol 1994;251:191-5.
• Göksan B. Bafl a¤rılı hastanın de¤erlendirilmesi. In: Siva A, Hancı M, editors. Bafl, boyun, bel a¤rıları. ‹stanbul: Deomed Yayıncılık; 2002. p. 15-21.
• Cady K, Schreiber CP. Sinus headache: a clinical conundrum. Otolaryngol Clin North Am 2004;37:267-88.
• Headache Classification Subcommittee of the International Headache Society. The International classification of headache dis- orders: 2nd edition. Cephalalgia 2004;24 Suppl 1:9-160.
• Levine HL, Setzen M, Cady RK, et al. An otolaryngology, neurol- ogy, allergy, and primary care consensus on diagnosis and treat- ment of sinus headache. Otolaryngol Head Neck Surg 2006:134:516-23.
• Siva A. Bafl a¤rısı epidemiyolojisi. In: Siva A, Hancı M, editors. Bafl, boyun, bel a¤rıları. ‹stanbul: Deomed Yayıncılık; 2002. p. 9-14.
• Cady RK, Dodick DW, Levine HL, et al. Sinus headache: a neu- rology, otolaryngology, allergy, and primary care consensus on diagnosis and treatment. Mayo Clin Proc 2005;80:908-16.
• Yousem DM. Imaging of sinonasal inflammatory disease. Radiology 1993;188:303-14.
• Sato K, Kawana M, Yamamoto Y, Fujioka O, Nakano Y. Evaluation of mastoid air cell system by three-dimentional recon- struction using sagittal tomography of the temporal bone. Auris Nasus Larynx 1997;24:47-51.
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• Please cite this article as: Polat C, Baykara M, Yüce S, Uysal ‹Ö, Do¤an M. Prevalence of sinusitis and mastoiditis in headache. J Med Updates 2013;3(3):146-149.