{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:18:23Z","timestamp":1775089103481,"version":"3.50.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":90,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Headache is a common complaint among otolaryngology patients, often presenting with an apparent diagnosis of secondary headache due to sinusitis. However, associated symptoms may also be linked to primary headache disorders such as migraines. The overlapping symptomatology of various headache causes poses a diagnostic challenge. The present study aims to evaluate the headache profiles of patients visiting the otolaryngology department.<\/jats:p>\n                  <jats:p>The present study aims to evaluate the headache profiles of patients visiting the otolaryngology department.<\/jats:p>\n                  <jats:p>A cross-sectional study was conducted on 128 otolaryngology patients presenting with headaches. The headaches were categorized according to the International Classification of Headache Disorders, third edition (ICHD-3), based on detailed history, examination, nasal endoscopy, and imaging studies.<\/jats:p>\n                  <jats:p>Primary headaches were diagnosed in 45.31% of the cases, while 54.69% presented secondary headaches. Sinusitis was the most common diagnosis, found in 40.63% of the patients. Various causes of primary and secondary headaches were correlated and were found to be statistically significant (p\u2009&lt;\u20090.001 each). Statistical significance was observed when correlating primary headache with laterality (p\u2009&lt;\u20090.001). The correlation of secondary headache with laterality and age range also showed statistical significance (p\u2009&lt;\u20090.001 and 0.035 respectively).<\/jats:p>\n                  <jats:p>Sinonasal symptoms may accompany headaches, with or without a direct causal link. The accurate diagnosis and treatment of headache disorders requires a thorough understanding of the latest guidelines and a multidisciplinary approach. This comprehensive strategy is essential to provide high-quality healthcare and significantly improve the quality of life of individuals suffering from this common and often debilitating condition.<\/jats:p>","DOI":"10.1055\/s-0046-1818584","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T23:18:12Z","timestamp":1775085492000},"page":"001-006","source":"Crossref","is-referenced-by-count":0,"title":["Headache Profile of Patients Attending Otorhinolaryngology Clinics: Navigating Diagnostic Challenges"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9374-4628","authenticated-orcid":false,"given":"Thripthi","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology - Head and Neck, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0753-9685","authenticated-orcid":false,"given":"Keshava K.","family":"Pai","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2006-8913","authenticated-orcid":false,"given":"Meera Niranjan","family":"Khadilkar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology - Head and Neck, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9294-7626","authenticated-orcid":false,"given":"Vijendra","family":"Shenoy","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology - Head and Neck, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/j.otc.2022.02.001","article-title":"The Role of the Otolaryngologist in the Evaluation and Management of Headache","volume":"55","author":"H D Murthy","year":"2022","journal-title":"Otolaryngol Clin North Am"},{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s10194-024-01814-2","article-title":"Headache prevalence and demographic associations in the Delhi and National Capital Region of India: estimates from a cross-sectional nationwide population-based study","volume":"25","author":"D Chowdhury","year":"2024","journal-title":"J Headache Pain"},{"issue":"02","key":"ref3","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1002\/lary.24926","article-title":"Comprehensive management of patients presenting to the otolaryngologist for sinus pressure, pain, or headache","volume":"125","author":"D Lal","year":"2015","journal-title":"Laryngoscope"},{"key":"ref4","doi-asserted-by":"publisher","author":"Headache Classification Committee of the International Headache Society (IHS)","year":"2013","DOI":"10.1177\/0333102413485658"},{"issue":"03","key":"ref5","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1002\/alr.21095","article-title":"\u201cSinus headache\u201d: rhinogenic headache or migraine? An evidence-based guide to diagnosis and treatment","volume":"3","author":"Z M Patel","year":"2013","journal-title":"Int Forum Allergy Rhinol"},{"issue":"02","key":"ref6","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.otc.2013.10.004","article-title":"Diagnosing and understanding adult headache","volume":"47","author":"A Feoktistov","year":"2014","journal-title":"Otolaryngol Clin North Am"},{"issue":"02","key":"ref7","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.otc.2013.10.006","article-title":"What do we know about rhinogenic headache? The otolaryngologist's challenge","volume":"47","author":"M E Mehle","year":"2014","journal-title":"Otolaryngol Clin North Am"},{"issue":"02","key":"ref8","first-page":"S23","article-title":"Migraine overview and summary of current and emerging treatment options","volume":"25","author":"G L Peters","year":"2019","journal-title":"Am J Manag Care"},{"issue":"04","key":"ref9","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1016\/j.ncl.2019.07.002","article-title":"Migraine in Women","volume":"37","author":"A M Lagman-Bartolome","year":"2019","journal-title":"Neurol Clin"},{"issue":"02","key":"ref10","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1111\/head.13067","article-title":"Tension-Type Headache - The Normal and Most Prevalent Headache","volume":"58","author":"R H Jensen","year":"2018","journal-title":"Headache"},{"issue":"01","key":"ref11","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.amjoto.2018.07.002","article-title":"The role of the otolaryngologist in the evaluation and management of headaches","volume":"40","author":"S Hu","year":"2019","journal-title":"Am J Otolaryngol"},{"issue":"01","key":"ref12","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s00106-015-0106-6","article-title":"Kopfschmerzen: Hals-Nasen-Ohren-\u00e4rztliche Aspekte","volume":"64","author":"O Michel","year":"2016","journal-title":"HNO"},{"issue":"03","key":"ref13","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1007\/s11916-020-0839-0","article-title":"Rhinogenic Headache in Children and Adolescents","volume":"24","author":"G L Barinsky","year":"2020","journal-title":"Curr Pain Headache Rep"},{"issue":"02","key":"ref14","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1016\/j.otc.2013.11.005","article-title":"The otolaryngologist's challenge: the differential diagnosis of the positive scan","volume":"47","author":"C P Schreiber","year":"2014","journal-title":"Otolaryngol Clin North Am"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1030940","DOI":"10.3389\/fneur.2022.1030940","article-title":"Neuroepidemiology study of headache in the region of Jammu of north Indian population: A cross-sectional study","volume":"13","author":"A Sudershan","year":"2023","journal-title":"Front Neurol"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0046-1818584.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T23:18:14Z","timestamp":1775085494000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0046-1818584"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,3,3]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["s00461818584"],"URL":"https:\/\/doi.org\/10.1055\/s-0046-1818584","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}