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Integrative Approach to Atypical Facial Pain and Headache

Program Description: The otolaryngologist may frequently deal with patients who present with atypical facial pain and headache, with no obvious anatomic, infectious, or inflammatory etiology. Such patients are challenging and require a multidisciplinary approach for diagnosis and treatment. In this miniseminar, we will review the definition, differential diagnosis, workup, and treatment recommendations for patients with atypical facial pain and headache. An integrative approach to the management of atypical facial pain will be outlined, including role for surgery, pharmacotherapy, complementary/alternative methods, mind-body approaches, and lifestyle changes. Challenging cases will be presented to the panel of experts for discussion. Educational Objectives: 1) Define atypical facial pain based on the International Headache Society’s classification. Other diagnoses, including cranial neuralgias, optic neuritis, and temporomandibular joint must be ruled out. 2) Recognize the etiology of rhinogenic headache and discuss the workup, controversies, and recommended treatment options. 3) Apply integrative approaches to treatment of atypical facial pain, including pharmacotherapy, role for surgery, complementary/alternative methods, mind-body approaches, and lifestyle changes.