The International Tinnitus Journal

Effect of Septoplasty on Headache among patients with septal deviation in Karbala, Iraq 2023.

Introduction: Headache is a common complaint of many patients, & had many types with intermingled & overlapped diagnoses. Septoplasty also is a common operation that some thought had a strong relationship to headache relief. Objective: To evaluate the effectiveness & relation of Septoplasty on people complaining of frequent (Headaches). Study Design: A prospective study carried out in Al-Imam Alhassan AL Mujtaba Teaching Hospital / Department of Surgery, from (February 2022 to February 2023). Patients & Methods: Our study includes (90) patients, (60 females with an age range of 19->40 years) & (30 males with an age range of 18 - > 30 years). Detailed history taking & physical examinations were done. Of course, all those patients were examined by an anterior Rhinoscopy & Nasal Endoscope). We found (Septal Spur in contact with Inferior Turbinate) in (70 patients) 30 males / 40 females. Also found 25 patients with (Middle Turbinate - Contact Points - with Septal spur /or deviation), 15 male / 10 female. Also in our study, (44 patients) were diagnosed to have (Concha Bullosa), 18 males / 26 females. This study didn’t include any patients diagnosed with (Rhinosinusitis). Results: After surgery ( Septoplasty ) compound when needed with Inferior Turbinoplasty, Spure Removal, Concha Bullosa Opening & Trimming, we found that the prevalence of headaches before and after septoplasty and the results were: Before surgery, tension headaches were present in 46.72% of the patients and after surgery only 20% of the patients did not get any relief (P <0.0001). Other headache types also showed improvement: the number of migraines reduced from 34.41% to 15.55% (P <0.0001), the number of cluster headaches decreased from 6.66% to 2.22%, and the number of cervical Osteoarthritis(OA) headaches reduced from 12.21% to 6.6 This makes it clear how effectively septoplasty can relieve tension headaches and also improve other headache types, as indicated by the low P-values. Conclusion: No Guarantee of 100 % in relieving Headaches after (Septoplasty, Inferior Turbinoplasty, Concha Bullosa opening, or trimming).