Prevalence of sinusitis and mastoiditis in headache

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

Öz

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.

Anahtar Kelimeler

• Baş ağrısı, paranazal sinüsler, mastoid hücreler, radyoloji

Kaynakça

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20. 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.