The Migraine And Headache Program

Foods not to eat if you have Migraine Headaches

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Approximately 3 % of people have paranasal sinus osteomas according to Earwacker (1993). In his series of 1500 CT scans, only two patients were symptomatic. This is the authors' experience. Many osteomas are found incidentally and are blamed for causing headaches or excision is recommended before they cause symptoms (Hehar and Jones, 1997). In practice, osteomas rarely cause any problems other than cosmetic. If they do cause symptoms by obstructing the frontal recess, their history should include symptoms that are worse after upper respiratory tract infections and there should be endoscopic and CT scan signs of mucosal disease (Fig. 15.38a-c). All too often tension-

Ethmoid Sinus Osteoma

Fig. 15.36 a Preoperative CT scan and b postoperative endoscopic view of an inverted papilloma of the left ethmoid sinuses and frontal recess.

Endoscopic Osteoma

Fig. 15.38 a Osteoma obstructing the right frontal recess; note whether there is evidence of other paranasal sinus pathology, otherwise reconsider the need to operate. b Postoperative CT scan and c endoscopic view.

c type headaches are blamed on an osteoma that is coincidental.

The removal of osteomas depends on how accessible they are (Schick et al., 2001) (Fig. 15.39). The endoscope can be used to shell out the osteoma and then its walls can be removed or fractured inwards. As the most symptomatic ones are in the frontal recess, it is important to reconstruct the mucosal lining with a septal flap or a free mucosal graft or to combine their removal with a median drainage procedure.

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Headache Happiness

Headache Happiness

Headache Happiness! Stop Your Headache BEFORE IT STARTS. How To Get Rid Of Your Headache BEFORE It Starts! The pain can be AGONIZING Headaches can stop you from doing all the things you love. Seeing friends, playing with the kids... even trying to watch your favorite television shows. And just think of how unwelcome headaches are while you're trying to work.

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