Navigation Links
Plastic Surgery Technique Might Ease Migraines

It targets facial muscles, nerves linked to headache, researchers explain

FRIDAY, July 31 (HealthDay News) -- Thanks to a procedure borrowed from cosmetic surgery, Michelle Cramer has now lost most of her frequent and debilitating migraine headaches, as well as her frown lines.

Cramer, a graphics illustrator in Williamsburg, Va., suffered about 15 migraines a month for close to a decade until she had surgery to "disarm" various nerves that were apparently controlling her headaches.

"I get maybe two migraines a year now," she said.

Cramer, 38, participated in a clinical trial to evaluate the surgery, the results of which are published in the August issue of Plastic and Reconstructive Surgery.

"The theory here is that there are sites outside the brain in the face and back of the head that can trigger migraines and, if you surgically remove the migraine trigger, the migraine will improve and there's certainly a precedent for the idea," said Dr. Richard Lipton, director of the Montefiore Headache Center in New York City. He was not involved in the new study.

Using surgery to correct migraine is a relatively new idea.

According to background information in the article, some 30 million Americans suffer from migraines, a disproportionate number of them women.

The study enrolled 75 patients with moderate to severe migraine headaches. Migraine trigger sites in the forehead, cheek and back of the head/neck were identified, then injected with the face-lifter Botox to see if the drug "disarmed" them.

If the trigger sites responded to the Botox, which lasts about six-to-eight weeks, then the patients underwent surgery to remove the trigger areas.

Forty-nine patients were randomized to receive "real" surgery and 26 to "sham" surgery.

The surgeries differed depending on the trigger points.

"For the patients with forehead headaches, we removed the frowning muscles. That's why they look better, more cheerful," explained Dr. Bahman Guyuron, lead author of the study and professor and chairman of the department of plastic surgery at University Hospitals Case Medical Center in Cleveland.

Those with temple headaches underwent an operation on a small nerve, which also lifted their eyebrows.

And, for those with a back-of-the-head trigger, Guyuron replaced a small amount of muscle around the occipital nerve with fatty tissue to shield the nerve from being squeezed by the muscle.

After one year, almost 84 percent of patients receiving actual surgery reported a reduction in migraines of 50 percent or more while slightly more than 57 percent said that their migraines had completely disappeared, versus 57.7 percent and 3.8 percent, respectively, in the sham group.

Some patients did experience temporary numbness in parts of the face, said Guyuron, but it usually went away.

"One thing that's impressive is the migraine-free rates," Lipton said. "The other thing that was impressive is they did a year of follow-up. Usually, everything is placebo-responsive but those responses are usually short-lived. A year is really impressive."

Guyuron believes the procedure, which he has already performed on more than 400 individuals, could benefit a wide range of migraine sufferers. "It really is not invasive surgery. It takes about an hour to do the operation for each trigger site, three-and-a-half hours is the maximum," he said. "They go home right after the surgery and go back to work within a week."

But Lipton wants to see another study, and feels surgery should be reserved for the most intractable cases.

"This is obviously not for everyone. This is for people who are really suffering, who've had adequate trials of medical therapy and who have an identifiable trigger point and get better following a Botox injection," Lipton said. "There are a lot of hurdles someone would have to jump over before I would send them for surgery."

More information

There's more on migraines at the U.S. National Institute of Neurological Disorders and Stroke.

SOURCES: Bahman Guyuron, M.D., professor and chairman, department of plastic surgery, University Hospitals Case Medical Center, Cleveland; Richard Lipton, M.D., director, Montefiore Headache Center, New York City; Michelle Cramer, Williamsburg, Va.; August 2009 Plastic and Reconstructive Surgery

Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Ten Secrets for Getting High Quality Plastic Surgery at More Affordable Prices
2. Fort Lauderdale Plastic Surgery Practice and Dr. Robert Rothfield Reaching Out to Patients with Expansive New Website
3. Huntsville, Alabama Plastic Surgeon David L. Durst, MD Comments on Silicone Breast Implants after Nearly 3 Years on the Open Market
4. Dr. Jack P. Gunter Assembles an Elite Cosmetic and Plastic Surgery Team in Dallas, Texas
5. Dr. John L. LeRoy First Atlanta Plastic Surgeon to Perform Newly Approved Dysport Wrinkle Remover Injections for Facial Rejuvenation
6. Nation's Most Popular Cosmetic Surgery Procedure is a Way for One Houston Plastic Surgeon to Renew Body Contours and Self-Esteem
7. Washington, DC Plastic Surgeon Mark E. Richards, M.D. Says Bio-Identical Hormone Therapy has Staggering Health Benefits that Could Change the Way We Age
8. Facial Plastic Surgeon Dr. Frank Fechner Selects Artefill to Meet Growing Patient Demand for a Longer Lasting Dermal Filler
9. Virtual Nose Jobs to Lead This Year's Top Plastic Surgery Trends
10. Mathematics taking guesswork out of plastic surgery tissue transfer
11. Top Newport Beach-Based Plastic Surgery Practice Triples Its Revenue; Celebrates Two-Year Anniversary
Post Your Comments:
Related Image:
Plastic Surgery Technique Might Ease Migraines
(Date:11/26/2015)... (PRWEB) , ... November 26, ... ... online platform for mental health and wellness consultation, has collaborated with Women’s ... holistically address their reader’s queries on topics on mental and emotional well-being ...
(Date:11/25/2015)... ... November 25, 2015 , ... Finnleo, a leader in the traditional and far-infrared ... traditional and far-infrared saunas. , For traditional saunas, Finnleo is offering ... sauna wood, and Finnleo uses only European Grade A Nordic White Spruce from sustainably ...
(Date:11/25/2015)... ... November 25, 2015 , ... On November 10, 2015, Bohrer Brady, ... of Connecticut on behalf of a home health care worker who provided companionship services ... home health care workers employed by Humana, Inc., Humana at Home, Inc., and SeniorBridge ...
(Date:11/25/2015)... (PRWEB) , ... November 25, 2015 , ... On November ... training center for the Narconon network, announced the release of a new cutting edge ... the Narconon organization has been working with drug- and alcohol-addicted individuals with the purpose ...
(Date:11/25/2015)... , ... November 25, 2015 , ... ... double board certified facial plastic surgeon specializing in both surgical and non-surgical treatments, ... The Skin Spa at Hobgood Facial Plastic Surgery. , Highly trained and ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... ) has announced ... High Viscosity Drugs" report to their offering. ... addition of the "Self Administration of High ... --> Research and Markets ( ) ... Administration of High Viscosity Drugs" report to ...
(Date:11/25/2015)... Nov. 25, 2015 ... of the "Global Brain Monitoring Devices ... --> ) has announced ... Monitoring Devices Market 2015-2019" report to ... Markets ( ) has announced the ...
(Date:11/25/2015)... 2015  Linden Care, LLC, a retail specialty pharmacy ... patients suffering from chronic pain, said today that it ... Order (TRO) enjoining Express Scripts from unilaterally terminating the ... --> --> The company said ... options. --> --> ...
Breaking Medicine Technology: