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Site Specific Analysis of Surgical Treatment for Auriculotemporal and Lesser Occipital Nerve Migraine Headaches
Tobias Long
Bahman Guyuron
University Hospital Case Medical Center
2016-02-01
Presenter: Tobias Long
Affidavit:
This project represents the original work of the resident.
Director Name: Hooman Soltanian
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
Introduction:
This is the first reported study demonstrating the results of surgical site treatment of migraines involving the auriculotemporal nerve (ATN) and lesser occipital nerve (LON). The purpose of this study was to evaluate symptom relief after surgical treatment of migraine headaches involving the ATN (site V) and LON (site VI). It also examined the site specific results when other surgical trigger sites existed.
Methods:
This was a retrospective review of the charts as well as interviews of patients who underwent surgical treatment of migraine headaches involving the ATN and LON. Patients were asked specifically if they had persistent migraine headaches. If patients had persistent headaches, further information was obtained if the headaches originated from the surgical sites of interest. When needed video conferences were used to further delineate if the persistent headaches were originating from the surgical sites of interest.
Results:
A total of 73 patients who underwent surgical treatment for migraine headaches involving the ATN (n=44) or LON (n=29) were included in this study. Surgical site symptom relief was achieved in 79% of patients.
Discussion:
Surgical site symptom relief for migraine headaches involving the LON or ATN can be achieved in an overwhelming majority of patients. Surgical deactivation of these sites continues to be an effective treatment option regardless of the existence of other trigger sites at the time of surgery.
