蝶窦炎所致的头痛甚为常见,但往往被忽视。蝶窦抵御感染时窦口关闭;但当分泌过多时,窦口便开放。若分泌物过多而窦口仍关闭,则不仅有烧灼感,且可导致头痛。若病因属暂时性,蝶窦重新恢复通气,疼痛即可缓解和消失。若病因稍许持久,即很快出现窦口阻塞,进而因缺O_2影响纤毛运动,破坏了窦腔的防御机制,其内寄生的病菌生长繁殖。如此形成恶性循环,头痛乃长期不愈。这种头痛可位于头颅中心,甚至有头欲炸开的恐怖感,有时疼痛位于眼球后方。两侧颞部可有紧压感。若一侧蝶窦病变,可以仅表现为偏头痛。头痛若放射到眶下或齿部可误为上颌窦炎,放射至前额可误为额窦炎;向后放射至项部,可误为颈关节病;如伴有恶心,则可能误为脑膜病变或颅内高压。 Headache caused by sphenoid sinusitis is very common, but often overlooked. The sphenoid sinus is closed when the ostium is infected; however, when the secretion is excessive, the ostium is open. If the secretions are too much and the ostium is still closed, there is not only a burning sensation but also headaches. If the cause is temporary, sphenoid sinus to restore ventilation, pain can be alleviated and disappeared. If the etiology of a little long lasting, that is, ostium occlusion soon appeared, which in turn due to the lack of O_2 affect the ciliary movement, undermining the defense mechanism of the sinus cavity, the parasitic bacteria growth and reproduction. So a vicious circle, headache is long-term unhealed. This headache can be located in the center of the skull, and even the head to explode the sense of terror, and sometimes pain in the back of the eye. There may be a sense of pressure on both sides of the temple. If one side of the sphenoid sinus lesions, can only show migraine. Headache if the radiation to the infraorbital or toothed may be mistaken for maxillary sinusitis, radiation to the forehead can be mistaken for frontal sinusitis; back to the Department of radiology, may be misdiagnosed as cervical joint disease; if accompanied by nausea, may be mistaken for the meninges Lesions or intracranial hypertension.