There are many causes of headaches and they involve many disciplines. Today, we will explain the headache from the nose related diseases. Headaches can also be a problem of the nose Headaches are a common clinical condition that affects many people’s quality of life. When suffering from a headache, many people first consult a neurologist, but a significant number of headaches are caused by problems with the nose. Here is an introduction to rhinogenic headache. Rhinogenic headache is a headache caused by nasal and sinus pathology. Acute inflammation of the sinuses is the most common, accounting for about 5% of all headaches, while other conditions such as acute and chronic rhinitis, chronic sinusitis, atrophic rhinitis, and deviated nasal septum can cause them. The characteristics of rhinogenic headache are: 1. Generally, it has the symptoms of nasal disease, such as nasal congestion and runny nose. 2.The pain is generally dull and vague, without throbbing, heavier during the day, relieved after rest and aggravated after activity. 3.The pain has a certain location and temporality. 4.After taking measures such as rest, nasal drops, steam inhalation or nasal ventilation and drainage, the headache can be reduced or temporarily relieved, but when coughing, lowering the head, bending down and exerting force, the venous pressure in the head increases and the headache will be aggravated again. The following are some common diseases that can cause rhinogenic headache: nasal septal deviation The nasal septum bends to one or both sides, or the nasal septum protrudes locally on one or both sides, causing physiological dysfunction of the nasal cavity and sinuses and producing symptoms (such as nasal congestion, nasal bleeding, headache, etc.) is called nasal septal deviation. The mechanism of headache is mainly as follows: (1) Mechanical compression, such as when the nasal septum is crestal or crestal protrusion, which directly pierces the inferior turbinate or presses the inferior turbinate on the deviated side, causing reflex headache. (2) A large amount of cold air enters the deviated concave side when breathing, and excessive stimulation of nasal mucosa may also cause reflex headache. (3) When the nasal septum is highly deviated, the upper and middle nasal cavity is narrowed, resulting in obstruction of the sinus opening, obstruction of ventilation and drainage, and secondary sinus infection. Acute and chronic sinusitis Sinusitis can be clinically divided into acute and chronic. The mucous membrane of the sinuses and the nasal cavity continue, and when suffering from acute rhinitis, there is a possibility of complicating acute sinusitis, and chronic sinusitis can also be recurrent acute attacks due to colds or other physical and chemical factors stimulating. Chronic sinusitis is the most common clinical condition, and is about 10 times more common than acute. The sinuses are located deep in the craniofacial region and there are four pairs on both sides. These sinuses have different natural openings and therefore cause different rates of disease. In general, frontal sinus, anterior septal sinus and maxillary sinus infections are more likely to cause frontal and facial headaches. In the case of posterior septal sinus and pterygoid sinus inflammation, pain at the base of the skull and the base of the occipital area is predominant. Chronic sinusitis headaches are generally milder, mostly a dull, inconspicuous pain, swelling, or heaviness of the head. Malignant tumors of the nasal cavity and sinuses Squamous cell carcinoma is the most common malignant tumor of the nasal cavity and sinuses. From the perspective of tumor location, sinus malignant tumors are far more common than nasal cavity, among which maxillary sinus tumors account for the majority, followed by septal sinus. In the early stage, the pain is caused by the local pressure of the tumor, and in the late stage, the tumor invades into the orbit or skull base, resulting in unbearable headache. In clinical cases where conservative treatment is ineffective, surgery is preferred for rhinogenic headache. At present, the surgical treatment of nasal and sinus at home and abroad is gradually overtaken by the previous major surgery to functional surgery. Functional nasal and sinus endoscopic surgery is less traumatic and has fast postoperative recovery, which has become one of the most important methods to treat nasal and nasal related diseases.