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

Patients often present with chronic facial pain despite normal nasal endoscopy and sinus computerized tomography. ...

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.

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.