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Decompression endoscopic surgery for frontal secondary headache attributed to supraorbital and supratrochlear nerve entrapment: a comprehensive review.
- Source :
-
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2017 May; Vol. 274 (5), pp. 2093-2106. Date of Electronic Publication: 2017 Jan 25. - Publication Year :
- 2017
-
Abstract
- In the last decade, a new surgical treatment modality was developed for frontal secondary headache, based on the assumption that the trigger of this pain entity is the entrapment of peripheral sensory nerves. The surgery entails a procedure, where an endoscopic approach is used to decompress the supraorbital and supratrochlear nerve branches, which are entrapped by the periosteum in the region of the corrugator supercilii muscle. Candidates for the surgery define their headache as moderate to severe persistent daily pressure or tension, localized in the frontal area, sometimes accompanied by symptoms of nausea and photophobia mimicking a primary headache-migraine. We created a step-by-step screening algorithm which is used to differentiate patients that have the highest chance for a successful surgical decompression. Up to now, published data regarding this type of surgery demonstrate long-lasting successful outcomes while adverse effects are minor. This article reviews and discusses from a surgeon's perspective decompression surgery for secondary headache attributed to supraorbital and supratrochlear nerve entrapment.
- Subjects :
- Humans
Patient Selection
Peripheral Nerves pathology
Peripheral Nerves physiopathology
Decompression, Surgical methods
Endoscopy methods
Facial Muscles innervation
Headache Disorders, Secondary etiology
Headache Disorders, Secondary physiopathology
Headache Disorders, Secondary surgery
Nerve Compression Syndromes complications
Nerve Compression Syndromes diagnosis
Nerve Compression Syndromes physiopathology
Nerve Compression Syndromes surgery
Orbit innervation
Subjects
Details
- Language :
- English
- ISSN :
- 1434-4726
- Volume :
- 274
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 28124109
- Full Text :
- https://doi.org/10.1007/s00405-017-4450-x