Clinical Outcome of Nerve Decompression Surgery for Migraine Improves with Nerve Wrap

Alizadeh, Kaveh; Kreinces, Jason; Smiley, Abbas; Gachabayov, Mahir

doi:10.1097/gox.0000000000003886

Cited by 3 publications

(4 citation statements)

References 40 publications

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“…58 Another option to prevent rescarring is wrapping acellular dermal matrix (ADM, AlloDerm, Allergan, Inc.) around the GON and lesser occipital nerve at the time of primary surgery by placing the dermal side of the ADM against the nerve epineurium. 59 Alizadeh and colleagues evaluated 153 patients who underwent trigger point deactivation using this technique and demonstrated significant headache improvement (129 patients, 84.3%, up to 26 months follow-up). 59 Other options include intraoperative corticosteroid injections at point IV (ie, GON).…”

Section: Resultsmentioning

confidence: 99%

“…59 Alizadeh and colleagues evaluated 153 patients who underwent trigger point deactivation using this technique and demonstrated significant headache improvement (129 patients, 84.3%, up to 26 months follow-up). 59 Other options include intraoperative corticosteroid injections at point IV (ie, GON). 56 In a retrospective chart review of 476 patients who underwent point IV deactivation only, triamcinolone acetonide injection (282 patients) at the time of primary surgery was found to significantly decrease migraine headache index and migraine frequency compared with surgery alone.…”

Section: Prs Global Open • 2024mentioning

confidence: 99%

“…of ADM against the nerve epineurium. 59 Alizadeh and colleagues evaluated 153 patients who underwent trigger point deactivation using this technique and demonstrated significant headache improvement (129 patients, 84.3%, up to 26 months follow-up). 59 Other options include intraoperative corticosteroid injections at point IV (ie, GON).…”

Section: Prs Global Open • 2024mentioning

confidence: 99%

See 2 more Smart Citations

Secondary Trigger Point Deactivation Surgery for Nerve Compression Headaches: A Scoping Review

Saffari,

Janis

2024

Plastic and Reconstructive Surgery - Global Open

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Background: Primary trigger point deactivation surgery has been successful in reducing or eliminating nerve compression headaches between 79% and 90% of the time. The aim of this review article was to discuss the factors that contribute to index trigger point deactivation surgery failure, the importance of reevaluating trigger points following failure, and the options for secondary surgery. Methods: A literature search was performed using a combination of keywords involving “chronic headache” and “nerve deactivation surgery,” in databases until February 2023. Results: Data of 1071 patients were evaluated and included (11 articles). The failure rate after index trigger point deactivation surgery occurs is approximately 12%, primarily due to incomplete primary trigger point deactivation. Secondary trigger points may not appear until the primary trigger is eliminated, which occurs in 17.8% of patients. Reevaluation of previously diagnosed trigger points as well as uncovered trigger points and additional preoperative testing is indicated to help determine candidacy for further surgical deactivation. To address scarring that could contribute to failure, corticosteroid injection, acellular dermal matrix, adipofascial fat, or expanded polytetrafluoroethylene sleeves have been described with beneficial effects. For neuroma management, regenerative peripheral nerve interface, targeted muscle reinnervation, a combination of both, relocation nerve grafting, or nerve capping have also been described. Neurectomy can be performed when patients prefer anesthesia and/or paresthesia over current pain symptoms. Conclusion: Secondary trigger point deactivation surgery is indicated when there is suspicion of incomplete deactivation, internal scarring, neuroma, or newly-diagnosed trigger points.

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Section: Resultsmentioning

confidence: 99%

Section: Prs Global Open • 2024mentioning

confidence: 99%

Section: Prs Global Open • 2024mentioning

confidence: 99%

See 1 more Smart Citation

Secondary Trigger Point Deactivation Surgery for Nerve Compression Headaches: A Scoping Review

Saffari,

Janis

2024

Plastic and Reconstructive Surgery - Global Open

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“…This plays a significant role in the development of chronic pain. Treating all other etiologies of peripheral nerve pain (ie, migraine headache and carpal tunnel syndrome) can also help reduce centrally-mediated pain [69][70][71][72][73] This proposes a future direction of RPNI surgery in that the treatment of peripherally-mediated pain associated with neuromas may have a role in mitigating centrally-mediated pain. In other words, RPNI may have benefit in treating amputation patients with phantom limb pain, even if there is no severe neuroma pain in the residual limb.…”

Section: Discussionmentioning

confidence: 99%

Regenerative Peripheral Nerve Interface Surgery: Anatomic and Technical Guide

Leach

Dean

Kumar

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Summary: Regenerative peripheral nerve interface (RPNI) surgery has been demonstrated to be an effective tool as an interface for neuroprosthetics. Additionally, it has been shown to be a reproducible and reliable strategy for the active treatment and for prevention of neuromas. The purpose of this article is to provide a comprehensive review of RPNI surgery to demonstrate its simplicity and empower reconstructive surgeons to add this to their armamentarium. This article discusses the basic science of neuroma formation and prevention, as well as the theory of RPNI. An anatomic review and discussion of surgical technique for each level of amputation and considerations for other etiologies of traumatic neuromas are included. Lastly, the authors discuss the future of RPNI surgery and compare this with other active techniques for the treatment of neuromas.

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Surgical Management of Headache Disorders - A Systematic Review of the Literature

Hazewinkel,

Knoedler,

Mathew

et al. 2024

Curr Neurol Neurosci Rep

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Clinical Outcome of Nerve Decompression Surgery for Migraine Improves with Nerve Wrap

Abstract: Related Digital Media are available in the full-text version of the article on www.PRSGlobalOpen.com.

Cited by 3 publications

References 40 publications

Secondary Trigger Point Deactivation Surgery for Nerve Compression Headaches: A Scoping Review

Secondary Trigger Point Deactivation Surgery for Nerve Compression Headaches: A Scoping Review

Regenerative Peripheral Nerve Interface Surgery: Anatomic and Technical Guide

Surgical Management of Headache Disorders - A Systematic Review of the Literature

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