Headache and transverse maxillary discrepancy

G. Farronato, C. Maspero, E. Russo, G. Periti, D. Farronato

Research output: Contribution to journalArticlepeer-review


The purpose of this study is to evaluate the usefulness of rapid palatal expansion in growing patients to eliminate the nasal pyramid stenosis as a cause of primary headache. Patients were invited to participate in the clinical study at the University of Milan, Department of Orthodontics. Forty-one growing patients of both genders suffering from primary neurovascular headaches and having transverse maxillary deficiency were studied before and after rapid palatal expansion. A clinical examination, postero-anterior radiography and rhinomanometry were performed. After rapid palatal expansion (RPE) therapy all patients showed a constant and important increase in the values relating to both skeletal and dental structures, a significant reduction in the mean nasal resistance, and a significant decrease or elimination of headache symptoms. This therapy provides a preventive alternative for surgical procedures, such as the neurovascular decompressive septo-ethmoidosphenoidectomy performed in adult patients.

Original languageEnglish
Pages (from-to)67-74
Number of pages8
JournalJournal of Clinical Pediatric Dentistry
Issue number1
Publication statusPublished - 2008


  • Postero-anterior radiography
  • Primary headache
  • Rapid palatal expansion
  • Rhinogenous trigger
  • Rhinomanometry

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dentistry(all)


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