Surgical Management of Migraine Headache.

Authors:
Dr Anson Jose, MDS
Dr Anson Jose, MDS
All India Institute of Medical Sciences
Oral and maxillofacial surgeon
Oral and maxillofacial surgery
New delhi, new delhi | India
Shakil Ahmed Nagori
Shakil Ahmed Nagori
All India Institute of Medical Sciences
India
Ajoy Roychoudhury
Ajoy Roychoudhury
All India Institute of Medical Sciences
India

J Craniofac Surg 2018 Mar;29(2):e106-e108

Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.

Migraine surgery has been recently reported as an alternative to medical management to provide long-term relief in migraine sufferers. A prospective study was designed wherein patients diagnosed with migraine were screened for surgery by injecting botulinum toxin type A at the primary trigger site. Surgery consisted of corrugator supercilii muscle resection to decompress supra-trochlear and supra-orbital nerves with avulsion of zygomaticotemporal branch of trigeminal nerve. Using pre and postsurgery questionnaires, information regarding the degree of reduction of migraines with regard to severity and frequency; and surgical site problems was acquired. Thirty patients volunteered for migraine surgery. Mean migraine headaches reduced from 15.2 ± 6.3 episodes per month to 1.9 ± 2.4 episodes per month (P < 0.0001) postsurgery. The mean intensity of migraine headache also reduced from a preoperative 7.3 ± 3.5 to a postoperative of 1.3 ± 1.4 (P < 0.0001). Fourteen (46.7%) patients reported complete elimination of migraine after surgery while an equal number reported significant relief of symptoms. Two (6.6%) patients failed to notice any significant improvement after surgery. The mean follow-up period was 11.1 ± 2 months with no major surgical complications. Results of the authors' study confirm prior published results that surgical treatment of migraine is a reality. Surgeons can easily incorporate this simple surgical procedure in their armamentarium to offer relief to numerous migraine patients.

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00001665-900000000-9610
Publisher Site
http://dx.doi.org/10.1097/SCS.0000000000004078DOI Listing
March 2018
25 Reads
0.680 Impact Factor

Publication Analysis

Top Keywords

migraine surgery
8
episodes month
8
migraine
6
zygomaticotemporal branch
4
nerves avulsion
4
supra-orbital nerves
4
avulsion zygomaticotemporal
4
trigeminal nerve
4
postsurgery questionnaires
4
pre postsurgery
4
nerve pre
4
supra-trochlear supra-orbital
4
branch trigeminal
4
supercilii muscle
4
site surgery
4
trigger site
4
primary trigger
4
type primary
4
surgery consisted
4
consisted corrugator
4

Similar Publications