Surgical Treatment of Migraine
With the simplest definition of “very severe headache”, migraine is a neurological disorder. It had been thought as an incurable disease until a recent date. America’s one of the successful surgeons Prof. Dr. Bahman Guyuron was first to cure migraine which severely decreases the quality of life. Nowadays this discovery method is followed in almost every country in the world.
Can Surgical treatment of migraine be applied to all patients?
First of all, migraine must be diagnosed by a neurologist. If patients have peripheral migraine attacks triggering the temporal, nasal or back of the neck, they are subjected to take some tests and pass a special examination. In case of a positive result, surgical intervention may have a positive impact for the migraine patient. Each of these regions below can be treated with different surgical interventions.
How a Migraine tested prior to surgery?
In the surgical treatment of migraine, recovery from the trigeminal nerve branch pressure -also known as decompression- is an important factor, . After completion of the tests, in order to predetermine the success of the migraine operation, problematic muscles are relaxed by Botox injection. 3 months of observation is required to determine whether there is a decrease in the pain or not. The reduction of pain after the Botox procedure means that migraine is treatable by surgery.
What represents the difference of the Botox used in the treatment of migraine?
Migraine Botox injections administered to patients with the aim of treatment require the use of a different dose administered for the purpose of removal of skin wrinkles. While 2-4 units are used for the elimination of wrinkles, 10 times more of these units are injected for migraine treatment.
How is migraine surgery done?
Migraine surgery is similar to the technique used in endoscopic face lift surgery. We enter into the nerve branches located in the temples with the endoscope and provide relaxation of these nerves. (See. Medium Facial Rejuvenation Surgery) This process is made under the scalp so there will be no trace. If there is a deviation of the nasal bone and if curvature caused by deviation is affecting nerve endings, nose surgeries are added in the case (see. Functional Nose Surgery). If experiencing migraine headaches due to a problem caused by the scruff of the neck, loosening the muscles and nerves surrounding the cervical nerve branches are taken into consideration.
How is the process after migraine surgery?
Migraine surgery may require performance of different surgeries together. For example, it may be a vital factor in the recovery phase if a nasal surgery was made or not, as well as if it was a single intervention or more. The healing process takes approximately 10 days if endoscopic face lift technique is utilized. For surgical interventions to the patients whom forehead and temple area’s nerve and surrounding muscles are treated, there is no major experience of distress after surgery. If all needed interventions are made as a single operation at the same time, recovery time can last up to 15 days.