The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

The Journal of Headache and Pain Cover Image

Volume 15 Supplement 1

Abstracts from the 4th European Headache and Migraine Trust International Congress: EHMTIC 2014

Open Access

EHMTI-0232. Non-surgical management of rhinogenic contact point headache

  • N Ahmady Roozbahany1 and
  • S Nasri2
The Journal of Headache and Pain201415(Suppl 1):C1

Published: 18 September 2014


Public HealthInternal MedicinePhysical ExaminationMedical TreatmentContact Area


Rhinogenic contact point headache (RCPH) is a pain that arises from two opposing mucosal surfaces in the nose. The diagnosis is made by history and physical examination along with nasal endoscopy and imaging. The mainstay of treatment is surgical removal of contact area.


To evaluate the effectiveness of non-surgical managements including behavioral and pharmacotherapy in treatment of RCPH.


Thirty patients with confirmed diagnosis of RCPH underwent non-surgical management of RCPH using recommendations for absolute contralateral nostril breathing during the pain period, applying warm cushion and medical treatment with non-steroidal analgesics and beta blocker. The results of treatment compared with the results of a group of patients who underwent surgical management.


More than eighty six percent of patients experienced a significant relief in the severity of the pain. In contrast to the surgically managed group, the frequency of headaches was not altered.


Non-surgical management of RCPH may have a role in patients who do not accept surgery or are not a candidate for surgical management.

No conflict of interest.

Authors’ Affiliations

Otolaryngology, Shahid Beheshti Medical University, Tehran, Iran
Public Health, Tehran, Iran


© Roozbahany and Nasri; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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