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Facial pain is a challenging symptom that has multiple possible aetiologies including sinus pain, and both neurological and vascular causes. Not all facial pain is sinus pain and other diagnoses must be considered. Psychological aspects of presentation associated with facial pain must not be overlooked and may be the most important factors to consider in effective management.

Pseudoephedrine is used for the temporary relief of stuffy nose and sinus pain/pressure caused by infection such as the common cold and flu. Here we were reporting a simple and precise validated st...

Sinusitis is an inflammation caused in the nasal passage due to cold, allergies or by nasal polyps. Sinusitis is a major Problem among one in eight people around the world. People are interested more in ailment of natural treatments than antibiotic and other medicines. The objective of this work is to provide relief from sinusitis pain through acupressure points. The proposed methodology of sinusitis treatment can be done by applying heating cooling effect and massaging action simultaneously. This paper deals with both the methods of treating the sinusitis. This system integrates an android mobile application with a hardware device that serves this purpose. A face mask which consists of motors and heating and cooling system embedded which can be controlled using user friendly mobile application. The similar methodology can be used for other applications like back pain, muscular pain and knee pain relief.

Sinusitis is an inflammation caused in the nasal passage due to cold, allergies or by nasal polyps. Sinusitis is a major problem among one in eight people around the world. People are interested more in ailment of natural treatments than antibiotic and other medicines. The objective of this work is to provide relief from sinusitis pain through acupressure points. The proposed methodology of sinusitis treatment can be done by applying heating cooling effect and massaging action simultaneously. This paper deals with both the methods of treating the sinusitis. This system integrates an android mobile application with a hardware device that serves this purpose. A face mask which consists of motors and heating and cooling system embedded which can be controlled using user friendly mobile application. The similar methodology can be used for other applications like back pain, muscular pain and knee pain relief.

Author(s): Lopachin, Tyler; Landers, Grace | Abstract: Introduction: Allergic fungal sinusitis (AFS) is a relatively uncommon cause of sinus pain and congestion. Extreme cases may require specialty evaluation and surgical treatment.Case Report: In this case, an otherwise healthy young man presented to the emergency department with sinus pain and congestion for two weeks and was admitted to surgery for resection of his AFS.Conclusion: This case demonstrates how a thorough history and physical exam can help catch potentially serious diseases, such as allergic fungal sinusitis, from the frequently benign chief complaint of sinus pain.

Background Inflammation and swelling of the sinus and nasal mucosa are commonly caused by viral infection, bacterial infection, or exposure to allergens and irritants. Sinonasal inflammation can cause symptoms of nasal congestion, facial pressure, and rhinogenic facial pain or “sinus pain”. A previous randomized controlled study demonstrated that acute treatment with non-invasive periorbital microcurrent stimulation resulted in a rapid and clinically meaningful reduction in self-report of sinus pain that significantly outperformed sham control treatment. Here, we assessed the acute durability of microcurrent pain relief and longitudinal effects of 4 weeks of daily microcurrent treatment in patients presenting with sinus pain. Methods Thirty subjects with moderate facial pain (numeric rating scale ≥5) attributed to self-reported sinonasal disease were enrolled in a single-arm, prospective interventional study. At enrollment, subjects were given a microcurrent treatment device and written instructions and self-administered the device to the bilateral periorbital regions for 5 mins. Subjects were instructed to treat themselves at home once daily and up to four times daily as needed for 4 weeks. Pain was measured both acutely and weekly during the 4 weeks of treatment using the numeric rating scale. Congestion and medication use data were collected weekly using the Congestion Quantifier 7 (CQ7) and medication diary, respectively. Results Thirty patients were enrolled and completed the study. Microcurrent therapy rapidly reduced post-treatment numeric rating scale for pain by − 1.2 at 10 mins (p = 0.0076), − 1.6 at 1 hr (p = 0.0007), − 1.9 at 2 hrs (p

International audience; Introduction: The absence of opacities on CT scan usually eliminates paranasal sinus disease as a cause of facial pain. The authors report a case, which constitutes an exception to this general rule, corresponding to a new aetiology of sinus pain.Case report: A 16-year-old boy presented with very painful "recurrent acute sinusitis" triggered by pressure changes (altitude, diving, surfing), with no sinus opacity on CT scan. Surgical exploration demonstrated absence of a primary or accessory maxillary ostium. Middle meatus antrostomy relieved the patient's pain.Discussion: The pathophysiology of this case of recurrent acute pseudo-sinusitis and the efficacy of antrostomy can be explained by the evo-devo theory of the origin and function of the paranasal sinuses. This case illustrates the absence of communication in the ethmoid of the membranous sac lining the maxillary sinus, formed by degeneration of the maxillary erythropoietic bone marrow. Under stable environmental conditions, the continuous production of nitric oxide by the sinus epithelium is eliminated by simple transmembrane diffusion, but is insufficiently eliminated in the case of rapid pressure changes, inducing sometimes very severe sinus pain, mimicking sinusitis. This case report paves the way for more detailed studies on the role of the paranasal sinuses in facial disease and respiratory physiology.

So-called ‘sinus pain’ is a common complaint in GP and ear, nose and throat clinics, and patients often receive treatment with antibiotics and decongestants. Recent evidence suggests that facial pain may not be related to the sinuses at all and that doctors may have to rethink their prescribing strategy.

Headaches of rhinogenic origin illustrate an interesting paradox. Little is known about their pathophysiology, mechanisms, and prevalence; yet, the concept that these headaches are of importance is widely accepted. This article discusses the relationship between fronto-turbinalis sinus expansion and headaches, as well as headache outcomes after surgical approach.

Associations between facial pain, headache, sinusitis, and nasal anatomical abnormalities have long been of clinical interest, but there are very few clinical studies on those subjects. According to survey of the literature from a recent 12-month period, studies have found that patients with chronic sinusitis have typical and predictable patterns of headache and facial pain. After surgical treatment of chronic sinusitis, facial pain and headache tended to improve after 2 months, but at 1 year after surgery many patients had developed recurrent pain. There is evidence that ostial obstruction of the frontal sinus can cause frontal headache. Theoretically, the pathophysiologic mechanism of pain from ostial obstruction could also explain the pain associated with some anatomical abnormalities and mucosal contact points. In a large series, 10% of patients seen in a nasal clinic had neurologic origins of facial pain with no evidence of sinusitis. There have been isolated reports of endoscopic sinus surgery being successful for patients with limited sinus disease and facial pain, but many senior surgeons advise significant caution when considering surgery in those patients because of high long-term failure rates and the eventual identification of other causes of the pain in many cases.

This prospective clinical descriptive study was designed to see whether patients who had endoscopic sinus surgery for sinusitis had relief of pain, and whether they had new pain postoperatively. The sample was 252 consecutive patients who underwent endoscopic sinus surgery after presenting with inflammatory sinus disorders meeting specific clinical definitions of sinusitis and criteria for surgically treatable sinus disorders developed by the treating surgeon. Of the 252 consecutive endoscopic sinus surgery patients, 106 (42%) had no preoperative pain and 146 (58%) patients had preoperative sinus pain. At 6- to 12-month postoperative evaluations, patients with no preoperative pain did not develop any new postoperative pain. Among the 146 patients with preoperative pain, 82 (56%) had no pain, residual symptoms, or further sequelae, and were considered cured; 42 (29%) reported a marked improvement of pain or discomfort; 9 (6%) had the same degree of pain or discomfort as before; 3 (2%) reported worse pain or discomfort; and 10 (7%) reported new pain or discomfort. These results suggest that the application of consistent definitions and clinical criteria for various forms of surgically treatable sinusitis will more likely predict improvement of pain and discomfort following surgical treatment. The risk of developing new pain and discomfort following endoscopic sinus surgery in individuals without preoperative pain or discomfort is negligible. The risk of worsening pain or new pain was less than 10% in patients with preoperative pain. Ongoing efforts such as the International Conference on Sinus Disease in the development of consistent terminology, staging, and therapy, and future modifications from additional clinical experience, should result in more predictable and effective care in the surgical treatment for pain of sinus disease.

Background: Patients with sinus pain and discomfort often seek additional adjunct therapies. Objective: To determine the efficacy of osteopathic manipulation techniques (OMT) to relieve sinus pain in our outpatient allergy clinic setting. Methods: Sixteen patients who presented to our clinic in pain and requesting alternative therapies for relief of their chronic sinus pain were offered to receive OMT treatment as an adjunct to their office visit. One patient declined participation after receiving printed information about the OMT techniques. The remaining fifteen patients were given a symptom score card to assess the severity of their sinus pain before offering OMT. The OMT offered consisted of four different direct pressures and "milking" techniques combined with one sinus drainage technique. These five techniques were selected to relieve sinus pain, pressure, and congestion by unblocking nasal passages and improving lymphatic flow. Each technique was given for 3 minutes and the entire process took approximately 18 minutes to complete. Results: Each patient was given a symptom score card to rate their symptoms before and after manipulation. Data was plotted and statistical analysis computed with GraphPad Software using paired t-test. OMT was not associated with any adverse effects or complaints. Nine of the 15 patients reported symptom relief immediately following OMT. The average reported sinus pain/congestion before OMT was 3.07 (Moderate.) Following OMT, sinus pain/congestion decreased to 2.33 (Minimal.) Average decrease in symptom score after OMT was 0.74 with a p-value of 0.0012 via paired t-test. Subjective data reported by the patients showed symptom improvement immediately following each OMT session. Four of the fifteen patients reported minimal pain during the procedure. No other adverse effects were reported. Conclusion: This study demonstrated that after OMT, utilizing direct pressure and sinus drainage technique, the overall sinus pain/congestion for all patients improved (p=0.0012). All fifteen patients reported feeling more relaxed after OMT.

The close relationship of the teeth and the maxillary sinus requires both communication and cooperation between the dentist and the ENT specialist to ensure the best outcome for the patient.

Tegretol has been proved effective in the treatment of trigeminal neuralgia and other neuralgiform pain. It is often assumed that responsiveness to this drug is diagnostic of neuralgiform pain specifically, trigeminal neuralgia. Two cases are reported in which patients suffered pain that was ultimately proved to be caused by sinusitis but which was apparently relieved by Tegretol.