A Retrospective Review of the Outcomes of Migraine Surgery in the Adolescent Population

Guyuron, Bahman; Lineberry, Kyle; Nahabet, Edward

doi:10.1097/prs.0000000000001270

Cited by 22 publications

(32 citation statements)

References 6 publications

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“…Six randomized controlled trials (RCTs), 11,14,16,30,33,38 7 prospective studies, 3,8,26,31,36,40,42 and 25 retrospective studies 9,10,12,13,15,[17][18][19][20][21][22][23][24][25][27][28][29]32,34,35,37,39,41,43,44 were included in this systematic review. Characteristics of the included studies and participants are presented in Table 1.…”

Section: Characteristics Of Included Studies and Participantsmentioning

confidence: 99%

“…Single trigger site surgery was performed in 12 studies 3,9 -11,15,22,24,27,30-32,37 of which 5 studies 9 -11,15,31 addressed only the frontal trigger site, 4 studies 11,27,30,32 addressed only the temporal site, 2 studies 22,24 addressed the occipital trigger site, and 1 study 37 looked at the nasal trigger site. Multiple trigger site surgery alone was reported in five studies 8,13,34,36,40 and a combination of single and multiple trigger site surgery was discussed in twenty studies 12,14,[16][17][18][19][20][21]23,25,26,28,29,33,35,38,39,[41][42][43][44] . The percentage of females included in the studies ranged from 70% to 100% and the mean age of participants ranged from 16 to 51 years' old.…”

Section: Characteristics Of Included Studies and Participantsmentioning

confidence: 99%

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Efficacy and Safety of Migraine Surgery

et al. 2021

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The objectives of this study are to assess the efficacy and safety of peripheral nerve surgery for migraine headaches and to bibliometrically analyze all anatomical studies relevant to migraine surgery. Summary Background Data: Migraines rank as the second leading cause of disability worldwide. Despite the availability of conservative management options, individuals suffer from refractive migraines which are associated with poor quality of life. Migraine surgery, defined as the peripheral nerve decompression/trigger site deactivation, is a relatively novel treatment strategy for refractory migraines. Methods: EMBASE and the National Library of Medicine (PubMed) were systematically searched for relevant articles according to the PRISMA guidelines. Data was extracted from studies which met the inclusion criteria. Pooled analyses were performed to assess complication rates. Meta-analyses were run using the random effects model for overall effects and within subgroup fixed-effect models were used. Results: A total of 68 studies (38 clinical, 30 anatomical) were included in this review. There was a significant overall reduction in migraine intensity (P < 0.001, SE ¼ 0.22, I 2 ¼ 97.9), frequency (P < 0.001, SE ¼ 0.17, I 2 ¼ 97.7), duration (P < 0.001, SE ¼ 0.15, I 2 ¼ 97), and migraine headache index (MHI, P < 0.001, SE ¼ 0.19, I 2 ¼ 97.2) at follow-up. A total of 35 studies reported on migraine improvement (range: 68.3%-100% of participants) and migraine elimination (range: 8.3%-86.5% of participants). 32.1% of participants in the clinical studies reported complications for which the most commonly reported complications being paresthesia and numbness, which was mostly transient, (12.11%) and itching (4.89%). Conclusion: This study demonstrates improved migraine outcomes and an overall decrease in MHI as well as strong evidence for the safety profile and complication rate of migraine surgery.

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Section: Characteristics Of Included Studies and Participantsmentioning

confidence: 99%

Section: Characteristics Of Included Studies and Participantsmentioning

confidence: 99%

Efficacy and Safety of Migraine Surgery

et al. 2021

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“…39 hastalık vaka serisi ve 22 hastalık prospektif kohort çalışmalarında migren cerrahisi geçiren hastalarda belirgin iyileşme ve semptomlarda azalma bildirmişlerdir. [9][10][11][12]15,34,37,40,41 Daha sonra ilk randomize kontrollü çalışma yine Guyuron ve ark. 9 tarafından yapılmış ve benzer sonuçlar elde edilmiştir.…”

Section: Klinik çAlışmalarunclassified

Surgical Treatment of Migraine Headaches: A Review of Surgical Technique, Clinical, Anatomical and Radiological Studies

Öztürk¹,

Ünlü²,

İğde³

et al. 2016

Turk J Plast Surg

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“…1–4 The operation has led to successful surgical treatment of thousands of pain patients with demonstrated positive results in 68 to 95 percent of patients treated. 2,5–31 The core principle, “decompression of extracranial sensory nerves from surrounding structures,” has remained the same, as has the goal of improving the lives of patients with intractable pain.…”

mentioning

confidence: 99%

Trigger-Site Deactivation Surgery for Nerve Compression Headaches

Gfrerer

Dayan

Austen

2021

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Identify patients who are candidates for headache surgery. 2. Counsel the patient preoperatively with regard to success rates, recovery, and complications. 3. Develop a surgical plan for primary and secondary nerve decompression. 4. Understand the surgical anatomy at all trigger sites. 5. Select appropriate International Classification of Diseases, Tenth Revision, and CPT codes. Summary: Headache surgery encompasses release of extracranial peripheral sensory nerves at seven sites. Keys to successful surgery include correct patient selection, detailed patient counseling, and meticulous surgical technique. This article is a practical step-by-step guide, from preoperative assessment to surgery and postoperative recovery. International Classification of Diseases, Tenth Revision, and CPT codes, in addition to complications and salvage procedures, are discussed. Intraoperative photographs, videos, and screening questionnaires are provided.

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A Retrospective Review of the Outcomes of Migraine Surgery in the Adolescent Population

Abstract: Therapeutic, IV.

Cited by 22 publications

References 6 publications

Efficacy and Safety of Migraine Surgery

Efficacy and Safety of Migraine Surgery

Surgical Treatment of Migraine Headaches: A Review of Surgical Technique, Clinical, Anatomical and Radiological Studies

Trigger-Site Deactivation Surgery for Nerve Compression Headaches

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