Abstract
The aim of the research was to study the interrelationship between the primary neurovascular headaches, the various levels dimension of nasal pyramid and the rapid palatal expansion.
Twenty-five patients, of both sexes and on developmental age, were studied before and after the rapid palatal expansion.
All patients showed palatal hypoplasia and were suffering from primary neurovascular headache.
The research was based on the cephalometric and rhinomanometric data.
The radiographic documentation of each patient consisted of three posteroanterior teleradiographic projection; the first before application of the disjunction device, the second immediately after disjunction and the third at the end of the contention period. The rhinomanometric evaluation studied the reduction of nasal resistance values before and after palatal expansion.
In all patients a constant increase in the values relating both skeletal and dental structures was observed.
The nasal septum, if deviated, appeared straightend.
The nasal resistances were decreased. The concomitant headache symptomatology presented resolution or recovery in the 98% of treated patients.
The results should confirm the hypothesis of the central-peripheral theory of “primary headaches” and the possibility to treat the primary headaches by rapid palatal disjunction in eliminating the stenosis at various levels of nasal pyramid.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Their orthognato-rhinodontial prophylaxis. The new frontiers of Oto-Rhino-laryngol. in Europe, Vol. II, Monduzzi Ed. Bologna (Italy): EUFOS Cong., Sorrento 1992, pag. II 232–II 327.
Silva O., Villas Boas M.C., Capelozza L.:Rapid maxillary expansion in the primary and mixed dentitions: a cephalometric evaluation. Am. J. Orth. Dentofacial Orthop. 100, 171–181, 1991.
Farronato G.P. et al.:Disgiunzione rapida del palato II parte: Risultati clinici. Mondo Ortodontico VIII-6, 49–56, 1983.
Farronato G.P. et al.:Rinomanometria posteriore attiva bilaterale simultanea. Otorinol. 39: 501–503, 1989.
Giannì E.:La Nuova Ortognatodonzia. Ed. Piccin Padova 1986, Vol. II, pag. 126–139.
Giannì E. ed al.:Disgiunzione rapida del palato: Parte IV Mondo Ortodontico, XII-6: 107–116, 1987.
Giannì E., Bonaccorsi P., Farronato G.P.:Orthognatorhinodontia and neurovascular primary headaches with rhinogenous trigger during development age. The new frontiers of Oto-rhinolaryngol. in Europe, Volume II, Monduzzi Ed., Bologna (Italy): EUFOS Cong., Sorrento 1992, pag. II/297–II/304.
Haas A.J.:The treatment of maxillary deficiency by opening the midpalatal suture. Angle Orth. 35: 200–216, 1965.
Hannerz J., Ericson K., Bergstrand G.:Orbital phebography in patients with cluster headache. Cephalgia 7: 207–211, 1987.
Hardebo J.E.:On pain mechanisms in cluster headache. Headache 31: 91–106, 1991.
Loisy C. et al.:Is cluster headache a disease of endonasal origin? Cephalgia 5, suppl. 3: 280–281, 1985.
Majourau A. andNanda R.:Biomechanical basis of vertical dimension control during rapid palatal expansion therapy. Am. J. Orth. Dentofacial Orth. 106: 322–328, 1994.
Moskowitz M.A. et al.:Pain mechanisms underlying vascular headaches. Rev. Neurol. 145: 181–193, 1989. The surgery results are 88% substantial improvements and cures with annual follow up from 1964 in a sample of 1000 patients on a total number of patients operated of 2124.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Gianni, E., Farronato, G.P. Cefalee primarie e ortognatorinodonzia in età evolutiva. Ital J Neuro Sci 16, 57–68 (1995). https://doi.org/10.1007/BF02333247
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF02333247