[Analysis of clinical manifestations in nasociliary neuralgia].

OBJECTIVE: To explore the clinical character of nasociliary neuralgia and improve the level of diagnosis and treatment. METHOD: Forty-three cases with nasociliary neuralgia were diagnosed and treated in our hospital. The clinical data were analyzed retrospectively. RESULT: It was easy to be misdiagnosed for nasociliary neuralgia,the rate of misdiagnosis was 69.8% (30/43). Performing the resection of upper nasal septum deviation, partial middle turbinetectkomy or/and folded, 43 cases were followed up from 6 to 24 months,the cural rate and the improve rate were 95.3% and 4.7% respectively, with the total effective rate 100.0%. CONCLUSION: Most patients with nasociliary neuralgia are middle-aged women. It is similar to ethmoid sinusitis and frontal sinusitis in headache, but no suppurative rhinorrhea. Careful examination of nasal cavity and CT scan in sinus play an important role in avoiding misdiagnosis. The corrective surgery of middle turbinate and nasal septum are effective treatment and the complication of dysosmia can be avoided.