Authors : Dr. Shatakshi Dubey; Dr. Navin Agrawal; Dr. Sanjay Kumar Gupta; Dr. Sanuj; Dr. Samiksha Sharma; Dr. Anand Sharma

Volume/Issue : Volume 11 - 2026, Issue 6 - June

Google Scholar : https://tinyurl.com/yhkun6eh

Scribd : https://tinyurl.com/ffr9b5dk

DOI : https://doi.org/10.38124/ijisrt/26jun1519

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Abstract : Background: Headaches are a very common condition worldwide. The sinonasal region demonstrates considerable anatomical variability which can potentially predispose patients to obstruction of the osteomeatal complex, impaired sinus drainage, recurrent rhinosinusitis, and technical challenges during functional endoscopic sinus surgery (FESS). CT scan provides a high-resolution imaging of nose and paranasal sinus anatomy. This study was undertaken to evaluate the anatomical variations as seen on CT scan in such patients.  Method: An observational hospital-based study was conducted over 18 months at a tertiary care centre involving 52 patients.  Result: Deviated nasal septum (especially s-shaped), septal spurs and concha bullosa were found to be the most prevalent anatomical variants in sinonasal anatomy in patients with headache.  Conclusion: Computed tomography of the paranasal sinuses proved essential for identifying structural issues like a deviated nasal septum or concha bullosa that caused narrowing of the osteomeatal complex and secondary headaches. Functional endoscopic sinus surgery (FESS) corrected these obstructions, restoring proper ventilation and relieving symptoms.

Keywords : Sinonasal Headache, CT Scan, DNS, Concha Bullosa.

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