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10.1007/s00405-021-06724-6

http://scihub22266oqcxt.onion/10.1007/s00405-021-06724-6
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33677741!7936872!33677741
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suck abstract from ncbi


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pmid33677741      Eur+Arch+Otorhinolaryngol 2021 ; 278 (6): 1743-1753
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  • Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis #MMPMID33677741
  • Maniaci A; Merlino F; Cocuzza S; Iannella G; Vicini C; Cammaroto G; Lechien JR; Calvo-Henriquez C; La Mantia I
  • Eur Arch Otorhinolaryngol 2021[Jun]; 278 (6): 1743-1753 PMID33677741show ga
  • 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.
  • |*Headache/etiology/surgery[MESH]
  • |*Migraine Disorders[MESH]
  • |Endoscopy[MESH]
  • |Humans[MESH]
  • |Nose[MESH]


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