Howard Levine, MD, Editor

Michael Setzen, MD, Editor

“Headache in Otolaryngology: Rhinogenic and Beyond” describes headaches ascribed to other causes, in particular, migraine, as well as headaches that actually are a result of sinusitis. This issue addresses the need for the expertise of an otolaryngologist who can obtain a history of nasal and sinus disease, evaluate the interior of the nose, and correlate it to a computed tomographic scan, along with collaboration of neurologists/headache specialists. Because headaches are often a symptom of potentially dangerous conditions that may need emergency workup and referral to the appropriate physician, information in this issue identifies these emergency conditions for the clinician.

The approach to the subject of headache in this issue provides information of importance to not only otolaryngologists, but also emergency physicians, allergists, internists, pediatricians, pulmonologists, and family practitioners, who frequently see and manage headache and sinus patients. It provides direct clinical information on history, differential diagnosis, laboratory testing and imaging, and treatment options, along with suggestions for when to refer. It demonstrates the need for a multispecialty team approach in the evaluation of the headache patient, in particular, the patient reporting a “sinus headache” that can be anything but a sinus headache.