Abstract:Objective To investigate the diagnosis and treatment of concha bullosa (CB) related headache.Methods A total of 17 patients with CB related headache confirmed by computed tomography (CT) scan, nasal endoscopic examine and headache anamnesis were enrolled. All subjects received endoscopic plastic surgery of CB performed by the same surgeon with proper postoperative management. Visual analogue scale (VAS) and migraine disability score (MIDAS) were adopted to assess the headache and quality of life (QOL) before and after treatment.Results All the patients had been followed up for 12 months postoperatively. The postoperative average scores of VAS for headache 2.18±0.95 and MIDAS 2.53±1.23 were significantly lower than the preoperative ones 7.47±1.23, 17.24±2.14, which indicated relief of headache and improvement of QOL. Follow-up revealed neither serious complications nor headache recurrence.Conclusions CB related headache can be diagnosed by preoperative nasal endoscopy combined with sinus CT scan. Endoscopic plastic surgery of CB is an economic, safe, simple and effective approach for the treatment of CB related headache.