So-called ‘sinus pain’ is a common complaint in GP and ENT clinics, and patients often receive treatment with antibiotics and decongestants. 

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Patients often present to otolaryngologists with chronic facial pain, presumed to be of sinus origin despite normal nasal endoscopy and sinus CT. This pain has increasingly been recognized as being of neurological origin with one of the commonest underlying causes being mid-facial segmental tension-type pain (MFP) which is a version of tension-type headache affecting the mid-face.

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Patients often present to otolaryngologists with facial pain which has been ascribed to sinusitis in spite of normal nasal endoscopy and sinus CT. This pain has increasingly been recognized as being of neurological origin.

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European Rhinologic Society meeting Stockholm July 2016. Panel on facial pain (left to right): Dr M Karlberg (Sweden), Prof David Kennedy (United States), Dr Adrian Agius (Malta), Y Kurono (Japan), Dr Michael Setzen (United States)

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European Rhinologic Society meeting London April 2018. Panel on facial pain (left to right): Dr Peter Lohuis (Netherlands), Dr Michael Setzen (New York), Dr Giorgio Lambru (London), Dr Adrian Agius (Malta, Chairman)

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Facial pain round table at European Rhinologic society Stockholm, 3-7 July 2016, with (from left) Dr Michael Karlberg (Lund, Sweden), Professor David W Kennedy (Pennsylvania, USA), Dr Adrian Agius (Malta), Dr Michael Setzen (New York, USA), Prof Y Kurono (Japan).

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