Baş Ağrısı Etyolojisinde Sinonazal Anatomik Varyasyonlar

Abstract

Amaç: Baş ağrısı çoklu etiyolojileri olan sık görülen bir klinik semptomdur. Amacımız sinonazal anatomideki varyasyonlar ile baş ağrısı arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntem : Baş ağrısı olan ve olmayan hastaların paranazal bilgisayarlı tomografi (BT) taramaları retrospektif olarak değerlendirildi. Baş ağrısı ile başvuran 118 hasta çalışma grubuna, baş ağrısı olmayan 63 hasta ise kontrol grubuna dahil edildi. Sekiz yaygın anatomik varyasyon, tek veya çift taraflı olmasına bakılmaksızın her iki grupta da var veya yok şeklinde değerlendirildi ve kaydedildi. İstatistiksel analizler NCSS (Number Cruncher Statistical System) 2007 yazılımı ile yapıldı. Sonuçlar p<0.05 anlamlılık düzeyinde değerlendirildi. Bulgular: Çalışmamızda incelediğimiz varyasyonlar arasında agger nasi hücreleri en sık rastlanan varyasyon olarak gözlendi. Çalışmamız baş ağrısı ile bazı anatomik varyasyonlar arasında istatistiksel olarak anlamlı bir korelasyon olduğunu ortaya koymuştur. Bu varyasyonlar arasında Haller hücresi, septumun lateral burun duvarı ile teması ve agger nasi hücresi yer almaktadır. Sonuç Baş ağrıları karmaşık patofizyolojik mekanizmalara sahiptir ve sinonazal anatomik varyasyonlarla ilişkili olabilirler. Bu varyasyonların tanınması baş ağrısının yönetimine katkıda bulunacaktır.

Keywords

• Bilgisayarlı tomografi
• baş ağrısı
• anatomik varyasyon

Sinonasal Anatomic Variations in Headache Etiology

Abstract

Objective: Headache is a frequent clinical symptom with multiple etiologies. Our purpose is to investigate the correlation between variations in sinonasal anatomy and headaches. Methods: We retrospectively evaluated the paranasal computed tomography (CT) scans of patients with and without headaches. 118 patients presenting with headaches were included in the study group and 63 patients without headaches were included in the control group. Eight common anatomic variations were clarified and recorded in both groups regardless of whether unilateral or bilateral. Statistical analyses were performed with NCSS (Number Cruncher Statistical System) 2007 software. The results were evaluated at a significance level of p<0.05. Results: Among the variations we investigated in our study agger nasi cells were observed as the most commenly encountered variation. Our study highlighted a statistically significant correlation between headaches and some anatomical variations. These variations including of Haller cell, septum-lateral nasal wall contact, and agger nasi cell. Conclusion: Headaches have complex pathophysiological mechanisms and may be associated with sinonasal anatomic variations. The recognition of these variations will contribute to the management of the headache.

Keywords

• Computed tomography
• headache
• anatomical variation.

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