Sinusitis and headache.

Nasal endoscopic examination and CT views of the sinuses were obtained in patients with symptoms of headache and sinusitis who had failed to respond to conservative medical therapy. Endoscopic sinus surgery has challenged traditional concepts of sinus disease management. The site of obstruction rather than the extent of the disease is the major concern. Removal of pressure points with reestablishment of a competent airway, and revision of sinus passageways to facilitate mucociliary drainage and ventilation of the obstructed cavity can benefit patients with chronic headaches.