Skip to main content
Journal cover image

Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study.

Publication ,  Journal Article
Schulz, KA; Esmati, E; Godley, FA; Hill, CL; Monfared, A; Teixido, M; Tucci, DL; Witsell, DL
Published in: Otolaryngol Head Neck Surg
July 2018

Objective To evaluate the prevalence of migraine disease in an otolaryngologic cohort and migraine-related otologic and sinonasal symptoms in this population. Study Design Cross-sectional study utilizing the CHEER (Creating Healthcare Excellence through Education and Research) network for recruitment. Setting Patients were recruited in a cross-sectional and pragmatic manner in 14 CHEER sites between June 2015 and March 2017 (9 academic, 5 community based). Subjects and Methods Patients were included if they were aged ≥18 years and seen for any concern that was not head and neck cancer. Patients with any history of brain abnormality or headaches that began within 2 weeks of a medical illness, trauma, or head injury were excluded. Patients were screened for migraine with a validated instrument. If they screened positive on the Migraine Assessment Tool (MAT+), the subjects also filled out validated and custom questionnaires for sinonasal, otologic, and migraine-specific symptoms. Results Of 1458 patients screened, 235 (16.1%) screened positive for migraine (MAT+), which is higher than general population (13%, P < .001). The MAT+ group was significantly younger (47.2 vs 55.6 years of age, P < .001) and predominantly women (80.0% vs 55.9%, P < .001). The MAT+ cohort commonly reported ear- and sinus-related symptoms, such as tinnitus (70.5%), ear pressure (61.9%), balance problems (82%), facial pressure (85%), and rhinorrhea (49.9%). There were significantly higher levels of sinus burden with higher levels of dizziness handicap, Jonckheere-Terpstra test = 11,573.00, z = 7.471, P < .001. Conclusion Migraine disease has a higher prevalence in an otolaryngologic cohort than in the general population, presenting with a high rate of sinonasal and otologic symptoms that may be due to or exacerbated by migraines.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

July 2018

Volume

159

Issue

1

Start / End Page

42 / 50

Location

England

Related Subject Headings

  • Prevalence
  • Otorhinolaryngology
  • Otorhinolaryngologic Diseases
  • Otolaryngology
  • Migraine Disorders
  • Middle Aged
  • Male
  • Humans
  • Female
  • Cross-Sectional Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schulz, K. A., Esmati, E., Godley, F. A., Hill, C. L., Monfared, A., Teixido, M., … Witsell, D. L. (2018). Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study. Otolaryngol Head Neck Surg, 159(1), 42–50. https://doi.org/10.1177/0194599818764387
Schulz, Kristine A., Elnaz Esmati, Frederick A. Godley, Claude L. Hill, Ashkan Monfared, Michael Teixido, Debara L. Tucci, and David L. Witsell. “Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study.Otolaryngol Head Neck Surg 159, no. 1 (July 2018): 42–50. https://doi.org/10.1177/0194599818764387.
Schulz KA, Esmati E, Godley FA, Hill CL, Monfared A, Teixido M, et al. Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study. Otolaryngol Head Neck Surg. 2018 Jul;159(1):42–50.
Schulz, Kristine A., et al. “Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study.Otolaryngol Head Neck Surg, vol. 159, no. 1, July 2018, pp. 42–50. Pubmed, doi:10.1177/0194599818764387.
Schulz KA, Esmati E, Godley FA, Hill CL, Monfared A, Teixido M, Tucci DL, Witsell DL. Patterns of Migraine Disease in Otolaryngology: A CHEER Network Study. Otolaryngol Head Neck Surg. 2018 Jul;159(1):42–50.
Journal cover image

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

July 2018

Volume

159

Issue

1

Start / End Page

42 / 50

Location

England

Related Subject Headings

  • Prevalence
  • Otorhinolaryngology
  • Otorhinolaryngologic Diseases
  • Otolaryngology
  • Migraine Disorders
  • Middle Aged
  • Male
  • Humans
  • Female
  • Cross-Sectional Studies