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Headache and facial pain are some of the most common complaints patients present with to primary care physicians and ENT surgeons. Unfortunately these symptoms frequently get termed as “sinus headaches” when in fact, sinus disease is an uncommon cause of head or facial pain. Much remains to be understood with regard to how sinus disease can cause pain, one thing has been well-established, and that is that the overwhelming majority of these patients have migraine or tension-type headaches, as well as a variety of other headache conditions, while sinusitis represents a MINORITY of cases. At Henry Ford, we implement a multidisciplinary approach to these patients through ENT surgeon and neurologist evaluations, with the aim being to diagnose patients most accurately. Sinus surgery or balloon sinuplasty is rarely necessary, as appropriate medical therapy for headaches generally resolves the issue. This lecture was recently given at the Michigan State Medical Society annual meeting.