1. In the name of God

2. HEADACHE AND ENT PROBLEMS ► Abtahi S.Hamidreza MD. ► Otolaryngologist ► Kashan Univercity Of Medical Science

3. Paranasal Sinuses AnatomyPhysiologyDevelopment

4. Sinusitis PrevalenceSymptomsPathogens Predisposing factors Diagnosis  X rays  CT Scan  Endoscopy DDxTreatment

8. Rhinosinusitis headache ► Diagnostic criteria: pain in head, face, ears or teeth ► Clinical imaging evidence of an ARS ► Simulataneous onset of headache and rhinosinusitis ► Headache lasts < 7 days after remission or successful treatment of ARS

9. Chronic Rhinosinusitis Major factors  Facial pain / pressure  Facial congestion / fullness  Nasal obstruction  Nasal discharge  Hyposmia  Prulence in nasal cavity  Fever: only in Acute cases

10. Chronic Rhinosinusitis HeadacheFeverHalitosisFatigue Dental pain Cough Ear pain / pressure

11. Miscellaneous Sphenoid sinusitis Nasal Headache (Rhinogenic Cephalgia)

12. Thanks for attention