Contributors; 1 Sinus Headache, Migraine, and the Otolaryngologist: An Introduction; References; 2 Anatomy and Pathophysiology of Migraine; Introduction; Pain Mechanisms and Anatomy; Aura and Migraine; Genesis of Migraine; Conclusions; References; 3 Differential Diagnosis and Workup of the Headache Patient: Should I Order a Scan?; Introduction; Primary Headache; Migraine; Tension-Type Headache; Cluster Headache; Secondary Headache; Headache Associated with Vascular Disease; Headache Due to Intracranial Hypertension and Hypotension; Medication Overuse Headache; Sinus Headache.

Calcium Channel BlockersAngiotensin Converting Enzyme (ACE) Inhibitors and Angiotensin Receptor Blockers (ARB); Antidepressants; Anticonvulsants; Magnesium and Other Prophylactic Medications; Pharmacological Therapy in Pregnant Patients; Developing a Pharmacological Treatment Plan; Abortive Treatment Plans; Prophylactic Treatment Plans; Inpatient Treatment Plans; Summary of Recommendations; References; 5 Botulinum Toxin for Migraine Headaches; Introduction; History; Pharmacology; Botulinum Toxin Preparation; Contraindications; Migraine Headache; The Botulinum Toxin Type A-Migraine Connection.

Diagnosing Rhinogenic HeadachesHeadache Attributed to Acute Rhinosinusitis (ARS); Chronic Rhinosinusitis (CRS); CT Scanning in Diagnosing CRS, and in the "Sinus Headache" Workup; The Bottom Line-Making the Correct Diagnosis; Reviewing the Surgical Literature for Rhinogenic Headache; The Surgical Placebo Effect; Surgical Intervention for CRS-Related Pain; Mucosal Contact Point Headache; Concha Bullosa-Related Headache, Middle Turbinate Headache; Surgery for Migraine Relief?; The Bottom Line: How to Interpret the Rhinogenic Headache Surgical Literature; Summary and Conclusions; References.

EvaluationNeuroimaging; Laboratory Testing; Cerebrospinal Fluid Analysis; Conclusion; References; 4 Pharmacological Management of Migraine; Introduction; Abortive Medications; Serotonin Receptor Agonists (Triptans); Ergots and Derivatives; Antiemetics; Antihistamines; Opioids; Corticosteroids; Isometheptene; Barbiturates; Benzodiazepines; Nonsteroidal Anti-inflammatory Drugs (Nsaids), Non-opioid Analgesics; Intranasal Lidocaine; Medication Overuse Headaches; Preemptive Treatment; Migraine Prophylaxis; Botulinum Toxin (OnabotulinumtoxinA); Antihypertensives; Beta-Blockers.

Relevant AnatomyProposed Mechanisms by Which Botulinum Toxin Affects Headache; BTX-A and Surgical Treatment of Migraine Headaches; Work-Up; Injection Technique; The Author's Injection Protocol; Glabellar Site; Temporal Site; Occipital Site; "On-Label Protocol" Injections; Possible Complications/Adverse Effects; Treatment of Ptosis; Causes of Therapeutic Failures; Marketing; Summary; Recommendations; References; 6 Sinus Headache and Rhinogenic Headache; Sinus Headache and Rhinogenic Headache; Nasal Anatomy; Nasal Neurophysiology; Migraine, Allodynia, and the Nose.

This volume serves as a comprehensive and useful guide for ENT and allergy physicians in the recognition, diagnosis, and treatment of patients who suffer from sinus headaches and migraines. The text reviews key issues such as identification and management of migraine, and appropriate surgical and nonsurgical treatment that is often not part of ENT or allergy resident training. With 20% of women and 6% of men having migraines (only 50% recognized) this text also serves to expand management options to physicians already medically or surgically treating sinuses or seeing cosmetic patients with head and neck concerns. Other forms of intervention in migraineurs, such as surgery, Botulinum Toxin injections and adjunctive and integrative therapy, are covered. Sinus Headache, Migraine, and the Otolaryngologist will be an invaluable resource for ENT and allergy specialists, and any physician or medical professional with an interest in sinus headache or migraine.