Diseases of PNS
Sphenoid sinusitis pain is referred most commonly to:
Sometimes an easy seeming question like this one can be really difficult to answer.
According to Dhingra
Acute sphenoditis: 'Headache - usually localized to the occiput or vertex. Pain may also be referred to the mastoid region:
- Dhingra 5th/ed /p207, 6th/ed p 794
. both options a and b are correct.
According to Tuli
"Sphenoidal pain-It gives rise to occipital or vertical headache and sometimes is referred to mastoid process. Pain may be felt behind the eyeball due to close proximity with Vth nerve." _ Tuli 7 st/ed p 788 . again both options a and b are correct.
According to Maqbool
"In sphenoid infection - the pain is usually referred to the vertex or occiput."
- Maqbool 7 7 th/ed p 208
Now read what Turner has to say
"The pain of Sphenoiditis, which is relatively uncommon, is localized to the top of head. It may produce pain over the trigeminal distribution because of the close proximity of these nerve." Turner 7 Oth/ed p 35
So both options a. occiput and option b . vertex are correct, but b > a.
Pain felt in area
Frontal sinus Ethmoid sinus
Along the infraorbital margin and referred to upper teeth or gums on affected side (along the distribution of superior orbital nerve) Pain is aggravated on stooping or coughing.
Pain localized over forehead. It has a characteristic periodicity
Pain localized over the nasal bridge, inner canthus and behind the ear.