Migraine, Sinusitis, and More: Management of Common Facial Pain Presentations

Saturday, October 11, 2025

2:30 PM - 3:30 PM EDT

Location: 242

Disclosure(s):

Victoria S. Lee, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Frederick A. Godley, MD, III:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Facial pain and/or pressure is one of the most frequent complaints presenting to otolaryngologists. The differential diagnoses are numerous and varied. In this presentation, through case-based examples, our multi-subspecialty panel will discuss the key clinical features, workup, and management of the most common causes of facial pain and/or pressure. In particular, we will review the various clinical manifestations of migraine and key aspects of diagnosis, counseling, and treatment. We will also discuss common rhinologic causes of facial pain and/or pressure, with a focus on those that typically have relatively unremarkable endoscopies, such as the inhalant allergy patient with mild sinus disease on imaging and recurrent acute rhinosinusitis. With these rhinologic cases, we will focus in particular on diagnosis/workup and variations in management of these patients. We will also review common otologic causes of facial pain and/or pressure, including otologic manifestations of migraine. Our panel aims to provide information relevant to the comprehensive and subspecialty otolaryngologist, advanced practice provider, and otolaryngologist in-training, on how to recognize and manage these common but often challenging diagnoses.

OUTCOME OBJECTIVE 1: Recognize different clinical manifestations of migraine and form a treatment plan.

OUTCOME OBJECTIVE 2: Identify common rhinologic causes of facial pain and/or pressure with an unremarkable endoscopy and describe different aspects of workup and management in these cases.

OUTCOME OBJECTIVE 3: Review common otologic causes of facial pain and/or pressure with a particular focus on otologic manifestations of migraine.

BACKGROUND STATEMENT: Need for a better understanding of how to recognize and manage causes of facial pain and/or pressure that are common, and otolaryngologists have the opportunity to treat, but may routinely refer.

Comprehensive Otolaryngology Track Statement : Facial pain/pressure is a symptom ubiquitous to all ENT practice areas. Our moderator/panelists represent multiple ENT practice areas (rhinology, neurotology, comprehensive ENT), providing a wide range of perspectives/approaches on treating this common symptom.

Moderator(s)

Victoria S. Lee, MD

Associate Professor of Otolaryngology
University of Illinois Chicago
Chicago, IL, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Panelist(s)

Li-Xing Man, MSc, MD, MPA

Associate Professor of Otolaryngology and Assistant Dean of GME Surgical Specialties
University of Rochester
Pittsford, New York, United States

Disclosure information not submitted.
Frederick A. Godley, III, MD

Otolaryngologist
University Otolaryngology
North Kingstown, RI, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
HD

Hamid R. Djalilian, MD

Professor of Otolaryngology, Neurosurgery, and Biomedical Engineering, Director of Division of Neurotology and Skull Base Surgery
University of California, Irvine
Irvine, CA, United States

Disclosure information not submitted.