| _version_ | 1867017737502457856 |
|---|---|
| author | Samuel Altonji Amanda Del Risco Kayla W. Kilpatrick Maragatha Kuchibhatla Ralph Abi Hachem David W. Jang |
| author_facet | Samuel Altonji Amanda Del Risco Kayla W. Kilpatrick Maragatha Kuchibhatla Ralph Abi Hachem David W. Jang Samuel Altonji Amanda Del Risco Kayla W. Kilpatrick Maragatha Kuchibhatla Ralph Abi Hachem David W. Jang |
| collection | Wiley Open Access |
| contents | Predictors of Non‐Rhinogenic Facial Pain or Pressure in Otolaryngology Clinic Samuel Altonji Amanda Del Risco Kayla W. Kilpatrick Maragatha Kuchibhatla Ralph Abi Hachem David W. Jang Otolaryngology–Head and Neck Surgery AbstractObjectivesIdentify demographic and clinical characteristics that may help differentiate non‐rhinogenic facial pain or pressure (NRFP) from sinusitis.Study DesignRetrospective single‐institution study.SettingTertiary Care Center Rhinology Clinic.MethodsAll patients presenting with a complaint of facial pain or pressure over a 3‐year period were included. Patients were categorized into either NRFP or sinusitis groups based on computed tomography imaging and nasal endoscopy. Data pertaining to demographics, history, and SNOT‐22 questionnaire domains were compared via univariate analysis as well as logistic regression with backwards variable selection.ResultsA total of 296 patients met inclusion criteria, of which 128 had NRFP and 168 had sinusitis. A significantly greater percentage of patients in the NRFP group were women of childbearing age (40.6% vs 28.0%, P = .02). Backwards variable selection resulted in a model with four variables predicting a diagnosis of NRFP–female sex (odds ratio [OR] = 2.998, P < .0001), no history of prior sinonasal surgery (OR = 0.340 for history vs no history, P < .01), low nasal domain score (OR = 0.551, P < .0001), and high ear/facial domain score (OR = 1.453, P < .01).ConclusionAccurately identifying patients with NRFP at initial presentation based on history would help direct patients to the appropriate care pathway and prevent ineffective treatments such as antibiotics and sinus procedures. Our findings suggest that the suspicion for NRFP should be higher in women of child‐bearing age as well as patients with greater ear/facial symptoms or lesser nasal symptoms. 10.1002/ohn.644 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/ohn.644 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_ohn_644 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Predictors of Non‐Rhinogenic Facial Pain or Pressure in Otolaryngology Clinic Samuel Altonji Amanda Del Risco Kayla W. Kilpatrick Maragatha Kuchibhatla Ralph Abi Hachem David W. Jang Otolaryngology–Head and Neck Surgery Predictors of Non‐Rhinogenic Facial Pain or Pressure in Otolaryngology Clinic Samuel Altonji Amanda Del Risco Kayla W. Kilpatrick Maragatha Kuchibhatla Ralph Abi Hachem David W. Jang Otolaryngology–Head and Neck Surgery AbstractObjectivesIdentify demographic and clinical characteristics that may help differentiate non‐rhinogenic facial pain or pressure (NRFP) from sinusitis.Study DesignRetrospective single‐institution study.SettingTertiary Care Center Rhinology Clinic.MethodsAll patients presenting with a complaint of facial pain or pressure over a 3‐year period were included. Patients were categorized into either NRFP or sinusitis groups based on computed tomography imaging and nasal endoscopy. Data pertaining to demographics, history, and SNOT‐22 questionnaire domains were compared via univariate analysis as well as logistic regression with backwards variable selection.ResultsA total of 296 patients met inclusion criteria, of which 128 had NRFP and 168 had sinusitis. A significantly greater percentage of patients in the NRFP group were women of childbearing age (40.6% vs 28.0%, P = .02). Backwards variable selection resulted in a model with four variables predicting a diagnosis of NRFP–female sex (odds ratio [OR] = 2.998, P < .0001), no history of prior sinonasal surgery (OR = 0.340 for history vs no history, P < .01), low nasal domain score (OR = 0.551, P < .0001), and high ear/facial domain score (OR = 1.453, P < .01).ConclusionAccurately identifying patients with NRFP at initial presentation based on history would help direct patients to the appropriate care pathway and prevent ineffective treatments such as antibiotics and sinus procedures. Our findings suggest that the suspicion for NRFP should be higher in women of child‐bearing age as well as patients with greater ear/facial symptoms or lesser nasal symptoms. 10.1002/ohn.644 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Predictors of Non‐Rhinogenic Facial Pain or Pressure in Otolaryngology Clinic |
| topic | Otolaryngology–Head and Neck Surgery |
| url | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.644 |