Surgical Management of Migraine Headaches: A Systematic Review and Meta-analysis.


BACKGROUND:The aim of the present study was to systematically review and analyze the available evidence on the role of surgery in improving outcomes in patients with migraine headaches. METHODS:An electronic search of PubMed, Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), and Google Scholar databases was performed for English-language articles reporting results of peripheral nerve surgery for migraine headaches. RESULTS:The search strategy revealed a total of 1528 records, of which 23 studies were included in the review. A total of 1151 headache patients were treated in the included studies. The trigger site of migraine addressed varied across studies. Meta-analysis of data of 616 patients revealed that migraine surgery significantly reduces migraine headache frequency (random: mean, 9.52; 95% confidence interval, 7.14-11.9; P < 0.00001; I = 94%). Similarly, when data of 797 patients were analyzed, there was statistically significant reduction in migraine headache intensity in patients undergoing migraine headache surgery (random: mean, 3.97; 95% confidence interval, 3.31-4.62; P < 0.00001; I = 94%). On pooling of data of all 23 studies, 8.3% to 76.4% of patients reported complete elimination of headache after surgery, whereas 3.9% to 33.3% had no relief. CONCLUSIONS:Peripheral nerve decompression surgery is highly effective in reducing migraine headache frequency and migraine headache intensity. However, not all patients benefit from the surgical procedure, with a small subset showing no improvement. Further clinical and anatomical studies are needed to define the exact mechanism of nerve compression in migraine patients and as to why a subset of patients does not respond to surgical treatment.


Ann Plast Surg


Nagori SA,Jose A,Roychoudhury A




Has Abstract


2019-08-01 00:00:00












  • Power-assisted suction lipectomy of fasciocutaneous flaps in the extremities.

    abstract:BACKGROUND:A bulky appearance is one of the major patient complaints after extremity reconstruction after fasciocutaneous flaps. Serial debulking procedures with staged excision are required to improve aesthetic and functional outcome, but these methods risk injury to the vascular pedicle and often require multiple pro...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Reuben CM,Bastidas N,Sharma S

    更新日期:2010-07-01 00:00:00

  • Lateral supramalleolar flap for heel coverage in a patient with Werner's syndrome.

    abstract::The repair of intractable ulcer over the Achilles' tendon in a patient with Werner's syndrome is described. The ulcer was covered successfully with a lateral supramalleolar flap combined with a delay procedure. Partial necrosis of the flap occurred; however, the necrotic area could be repaired with a skin graft becaus...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Okazaki M,Ueda K,Kuriki K

    更新日期:1998-09-01 00:00:00

  • The contour lines of the upper lip and a revised method of cleft lip repair.

    abstract::Many techniques for cleft lip repair have been reported, but these techniques do not consider the contour lines of the upper lip and, in fact, destroy them. The upper lip has complicated contour lines including the vermilion free margin, vermilion border, upper lip horizontal groove (upper lip groove), philtrum (dimpl...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Onizuka T,Ichinose M,Hosaka Y,Usui Y,Jinnai T

    更新日期:1991-09-01 00:00:00

  • TRAM flap breast reconstruction for patients with advanced breast disease.

    abstract::Transverse rectus abdominis musculocutaneous (TRAM) breast reconstruction in patients with advanced breast cancer is controversial. Management of these patients is often complex and consists of surgical extirpation, postoperative radiation, chemotherapy, and in some cases bone marrow transplantation. Few studies have ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Behnam AB,Nguyen D,Moran SL,Serletti JM

    更新日期:2003-06-01 00:00:00

  • Use of FLIR ONE Smartphone Thermography in Burn Wound Assessment.

    abstract:OBJECTIVE:Forward-looking infrared (FLIR) thermography technology uses a handheld camera that measures skin infrared emissivity, captures photographs, and can be analyzed through specialized software. Forward-looking infrared images can be used to analyze and correlate burn wound temperature with burn depth, burn progr...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Xue EY,Chandler LK,Viviano SL,Keith JD

    更新日期:2018-04-01 00:00:00

  • Prospective, randomized trial of splinting after carpal tunnel release.

    abstract::To determine the possible beneficial effect of postoperative splint immobilization after open carpal tunnel release, we performed a prospective, randomized study comparing 2 weeks of postoperative wrist splinting versus a bulky dressing only. Forty patients with 43 carpal tunnel releases were evaluated. There were no ...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Bury TF,Akelman E,Weiss AP

    更新日期:1995-07-01 00:00:00

  • Gait Improvement and Ulcer Prevention With Second-to-Great Toe Transposition at the Donor Site: A Case Report.

    abstract::A young male patient, who sustained a severe burn injury 6 years ago, received amputation of left hand at the level of metacarpal shaft of the thumb and base of proximal phalanxes of the rest of the fingers. Staged operations, including combined second- and third-toe transfer from the right foot to middle and ring fin...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Yang C,Hsieh YH,Chen HH,Tsai CH,Lin YT

    更新日期:2020-01-01 00:00:00

  • The male cosmetic surgery patient: a matched sample gender analysis of elective cosmetic surgery and cosmetic dentistry patients.

    abstract::Plastic surgeons have traditionally perceived male patients as more psychologically disturbed than female patients. This study employed a matched sample design to explore the psychosocial experiences of 50 male and 50 female elective cosmetic surgery and cosmetic dentistry patients. It also aimed to compare male and f...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Dowling NA,Honigman RJ,Jackson AC

    更新日期:2010-06-01 00:00:00

  • Analysis of Operative Techniques of Fractures of the First Metacarpal Base.

    abstract:INTRODUCTION:Over time, the operative treatment of extra-articular and intra-articular fractures of the first metacarpal base has gained significant importance, and at present, there are many operative strategies available because of the different osteosynthesis procedures in practice today. PURPOSE:In this retrospect...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Fischborn T,Beckenbauer D,Held M,Daigeler A,Medved F

    更新日期:2018-05-01 00:00:00

  • A guide to establishing the risk for breast cancer in the plastic surgery patient.

    abstract::Plastic surgeons with a practice that includes breast augmentation, breast reduction, and breast reconstruction should have a working knowledge of both genetic and environmental breast cancer risk factors and of risk stratification of these patients. Specific tests to determine genetic susceptibility to certain cancer...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Gronau KA,Semple JL

    更新日期:2000-11-01 00:00:00

  • Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation.

    abstract::A series of basic animal studies using a new subatmospheric pressure technique (The V.A.C.) to expedite wound healing are presented. The technique entails placing an open-cell foam into the wound, sealing the site with an adhesive drape, and applying subatmospheric pressure (125 mmHg below ambient) that is transmitted...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Morykwas MJ,Argenta LC,Shelton-Brown EI,McGuirt W

    更新日期:1997-06-01 00:00:00

  • Heel and foot reconstruction using reverse-flow posterior tibial flap.

    abstract::Island flaps supplied by the intermuscular cutaneous perforator (IMCP) from a deep vessel, such as the peroneal flap pedicled by IMCP from the peroneal vessel or the anterior tibial flap supplied by IMCP from the anterior tibial vessel, are reported to be useful in reconstructive procedures for soft-tissue defects of ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Satoh K,Sakai M,Hiromatsu N,Ohsumi N

    更新日期:1990-04-01 00:00:00

  • Node-positive transcranial recurrent melanoma: is an aggressive resection warranted?

    abstract::Locally advanced, node-positive recurrence of malignant melanoma is a harbinger of distant metastases and signifies poor prognosis. However, the clinical course may vary due to the unpredictable biology of malignant melanoma. The presented patient developed a recurrent melanoma of the scalp that eroded through the sku...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Senchenkov A,Barone FE

    更新日期:2005-05-01 00:00:00

  • Long-term fate of vascularized iliac bone flap as a source for phallic rigidity.

    abstract::One of the surgical goals of phalloplasty is to obtain sufficient rigidity for sexual penetration. This is also important for patients with erectile dysfunction. Different kinds of techniques have described phalloplasty and obtaining rigidity in patients with erectile dysfunction, but there is no good substitute for t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Aköz T,Kargi E,Cakir B

    更新日期:2003-05-01 00:00:00

  • Illicit Cosmetic Silicone Injection: A Recent Reiteration of History.

    abstract::The injection of liquid silicone for cosmetic augmentation has a history of both legal as well as illicit practice in the United States and worldwide. Recently, the American Society of Plastic Surgeons has launched a public awareness campaign through patient stories and various statements in response to the rise in de...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Leonardi NR,Compoginis JM,Luce EA

    更新日期:2016-10-01 00:00:00

  • Dermatofibrosarcoma protuberans of the toe.

    abstract::Dermatofibrosarcoma protuberans is an unusual soft-tissue tumor with a propensity for local recurrence and occasional metastatic spread. Given its indolent course, it may be mistaken for atypical scarring or a keloid growth. Most lesions are trunkal or on the proximal extremities with digital lesions being extremely r...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审


    authors: Kraemer BA,Fremling M

    更新日期:1990-10-01 00:00:00

  • The use of biomedical sensors to monitor capsule formation around soft tissue implants.

    abstract::Piezoelectric sensors have been shown to respond reproducibly to changes in tissue mechanical properties surrounding an implant over a 4-month period. The vibrational amplitude at a frequency corresponding to the radial resonance shows a statistically significant change over time. The initial period of inflammation is...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Bender JW,Friedman HI,Giurgiutiu V,Watson C,Fitzmaurice M,Yost ML

    更新日期:2006-01-01 00:00:00

  • Lysis of venous clots by local intraarterial Thrombolysin injection in the rat.

    abstract::Intravascular coagulation is the final common pathway of failure in replanted digits and "free" tissue transfers. To address this clinical problem, a model based upon intimal damage and stasis in the rat femoral vein was developed. The ability of local, intraarterially administered Thrombolysin to achieve "local" clot...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Dellon AL,Curtis RM,Cooley BC

    更新日期:1981-07-01 00:00:00

  • Ultrasound guided minimally invasive breast surgery (UMIBS): a superior technique for gynecomastia.

    abstract::The last 30 years has seen a shift in surgical treatment of breast diseases to less invasive, more conservative treatment options. The mammotome equipment was originally introduced as a diagnostic tool, but advances in technology have extended its role to therapeutic procedures. The mammotome device (8-gauge) is inser...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Iwuagwu OC,Calvey TA,Ilsley D,Drew PJ

    更新日期:2004-02-01 00:00:00

  • The role of full-thickness scalp resection for management of primary scalp melanoma.

    abstract:BACKGROUND:Scalp melanoma is aggressive and has a proclivity for regional metastasis. We hypothesize that subperiosteal scalp melanoma resection reduces in-transit/satellite recurrence, when compared with subgaleal resection. METHODS:We identified patients with intermediate to deep, primary scalp melanoma referred to ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Pannucci CJ,Collar RM,Johnson TM,Bradford CR,Rees RS

    更新日期:2012-08-01 00:00:00

  • Marriage of hard and soft tissues of the face revisited: when distraction meets microsurgery.

    abstract:BACKGROUND:Patients with craniofacial anomalies can have hard and soft tissue deficiencies. In some cases, distraction osteogenesis can restore the bony deficiencies, but the soft tissue contour defect remains problematic. For these patients, the union of distraction osteogenesis and microvascular free flaps (MVFF) can...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Spector JA,Warren SM,Singh SP,McCarthy JG,Siebert JW

    更新日期:2007-07-01 00:00:00

  • Medial epicanthoplasty without a vertical scar.

    abstract:BACKGROUND:The epicanthal fold (Mongolian fold) in Asians reduces the aesthetic results of eyelid surgery, and thus, medial epicanthoplasty is commonly performed in combination with a double fold operation or blepharoptosis correction. Epicanthoplasty is one of the most popular cosmetic operations conducted in Asia, bu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Park DH,Park SU,Lee BK,Lee YB,Do ER,Han DG,Shim JS,Lee YJ

    更新日期:2014-07-01 00:00:00

  • Posttraumatic epidermal inclusion cyst of the deep infratemporal fossa.

    abstract::The authors report a case of an epidermal inclusion cyst found in the deep infratemporal fossa 12 years after the patient sustained blunt trauma to that region. Posttraumatic epidermal inclusion cysts are rare and occur mainly in the fingers, palms, and soles. Introduction of the epidermal elements into the dermis dur...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Acarturk TO,Stofman GM

    更新日期:2001-01-01 00:00:00

  • Management of the Nipple-Areola Complex in Selected Patients Undergoing Primary Breast Reconstruction: A Comparison of Immediate Replantation and Delayed Reconstruction.

    abstract:BACKGROUND:Management of the nipple-areola complex is an important issue in primary breast reconstruction. When nipple-sparing mastectomy is not suitable, alternatives are immediate nipple-areola complex replantation and delayed reconstruction. The aim of this study was to examine whether patients benefit more from nip...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Nedomansky J,Nickl S,Maier B,Dubsky P,Haslik W,Schroegendorfer KF

    更新日期:2017-04-01 00:00:00

  • A New Surgical Method to Reconstruct the Fingertip.

    abstract:BACKGROUND:In our previous study, we used cross finger fascial flap combined with split-thickness toe nail bed graft to reconstruct large area defect of the nail bed with distal phalanx exposure. Fingertip avulsions are common injuries to the upper extremity and cause a great deal of distress for patients. Replantation...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Yang J,Yu C,Jia X

    更新日期:2019-12-01 00:00:00

  • Fluorescein Isothiocyanate: A Novel Application for Lymphatic Surgery.

    abstract::The Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) procedure entails performing a lymphovenous bypass (LVB) at the time of axillary lymph node dissection to reduce lymphedema risk. The two most common fluorophores utilized in LVB are blue dye and indocyanine green. We developed a novel application of flu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Spiguel L,Shaw C,Katz A,Guo L,Chen HC,Lee BT,Singhal D

    更新日期:2017-06-01 00:00:00

  • The history of the artificial eye.

    abstract::The history of the artificial eye, from antiquity to the present, is described. Around the beginning of the nineteenth century, glass eyes replaced the earlier metal ones--not always well tolerated. In 1835, cryolite glass was used instead of lead glass; to this day it remains the lightest and most desirable substance...

    journal_title:Annals of plastic surgery

    pub_type: 历史文章,杂志文章


    authors: Martin O,Clodius L

    更新日期:1979-08-01 00:00:00

  • Digital Sympathectomy in Patients With Scleroderma: An Overview of the Practice and Referral Patterns and Perceptions of Rheumatologists.

    abstract:PURPOSE:Periarterial sympathectomy is a treatment option for patients with systemic sclerosis (SSc) suffering from digital vasculopathy. Despite potential benefits of ulcer healing, pain improvement, and amputation prevention, this operation appears to be infrequently performed. The aims of our study are as follows: (1...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Chiou G,Crowe C,Suarez P,Chung L,Curtin C,Chang J

    更新日期:2015-12-01 00:00:00

  • Hair removal using the long-pulsed ruby laser.

    abstract::There are a variety of traditional treatments for the removal of unwanted hair. Recently, lasers have been developed to remove hair. The long-pulsed ruby laser uses light at a wavelength of 694 nm with a 3-msec pulse to destroy hair. Seventy-two patients were treated with this laser from one to four times in a variety...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Solomon MP

    更新日期:1998-07-01 00:00:00

  • The medial sural(MEDIAL GASTROCNEMIUS) perforator local flap.

    abstract::The medial sural(MEDIAL GASTROCNEMIUS) perforator flap has previously been described as a free flap distinguished by the potential for a large yet thin cutaneous flap that incorporates the calf skin territory. Its medial sural vascular pedicle can be tailored to allow reach extending from the popliteal fossa to the su...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章


    authors: Hallock GG

    更新日期:2004-11-01 00:00:00