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Endoscopic picture showing septal spur. 

Endoscopic picture showing septal spur. 

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There are different anatomical situations inside the nasal cavity leading to rhinogenic contact point headache (RCPH), where each contact point has its own characteristics. The precise excision of contact points by endoscopic approach in patients with RCPH is very effective and could be done carefully in selected patients. This review presents an o...

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... spur, and concha bullosa. 12 Wolf and Tosum et al. documented that nasal septal deviation and spur are causing referred headache in the absence of inflammation. 2 There are different types of septal deviations including cartilaginous deviation, bony deviation, bony spur, and high septal devia- tion. The significant RCPH is seen in septal spur (Fig. 1). Concha Table 1 -Anatomic variations noted on diagnostic nasal endoscopy and CT scan anatomic ...

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Background Headache is a universal clinical presentation in the course of everyone's life. In Rhinogenic contact point headache (RCPH), intranasal mucosal contact points are seen between the opposing mucosal surface of the nasal septum and turbinates of the lateral wall of the nasal cavity. Objective To study the details of endoscopic treatment of RCPH and its effectiveness to relieve headache. Materials and Methods There were 68 patients of RCPH who participated in this prospective study. The mucosal contact points inside the nasal cavity were excised by the endoscopic approach under general anesthesia. The olfactory mucosal lining was protected from injury during this surgical process. P < 0.05 were considered statistically significant. Results Out of 68 patients with RCPH participated in this study with 38 (55.88%) males and 30 (44.11%) females with a male-to-female ratio of 1.26:1. All patients underwent endoscopic excision of the intranasal mucosal contact points. After 3 months of endoscopic excision of the intranasal mucosal contact points, the symptoms disappeared in 52 (76.47%) patients, and significantly improved in 13 (19.1%) patients. Only 3 (4.41%) patients did not show obvious improvement. Satisfactory results were archived by endonasal excision of the mucosal contact points in 65 (95.58%) patients with RCPH. Conclusion RCPH is an important cause of headache. Endoscopic surgical excision of the intranasal mucosal contact points in patients of RCPH is useful to relieve headache effectively.