Accent Nerves of the Brow: A Newly Found Frontotemporal Neurovascular Bundle and Its Implications within the Therapy of Migraine Headache, Migraine Surgical procedure, and Beauty Temple Filler Injection.
Plast Reconstr Surg. 2018 Might;141(5):1252-1259
Authors: Amirlak B, Chung MH, Pezeshk RA, Sanniec Okay
BACKGROUND: Surgical decompression of peripheral cranial and spinal nerves at a number of anatomically studied set off websites has demonstrated important efficacy in bringing everlasting aid to migraine victims. Of their expertise performing frontal nerve decompression on migraine sufferers, the authors observed a beforehand undescribed accent nerve and vessel within the frontotemporal space, and report its implication in migraine surgical procedure and beauty filler injection.
METHODS: A retrospective assessment of 113 sufferers who underwent frontal migraine decompression surgical procedure on the College of Texas Southwestern Medical Heart from July of 2011 to Might of 2016 was carried out. For the included 76 sufferers, measurements of this nerve had been taken intraoperatively utilizing high-definition endoscopic help, and topographic measurements have been correlated with endoscopic location of the nerve.
RESULTS: This frontotemporal nerve was current in 55 p.c, and the bilateral incidence was 57 p.c of these. An accompanying vessel was additionally current in 81 p.c of nerve complexes. Each nerve and vessel diverse in measurement. A big vessel was current in eight p.c of all sufferers, and a medium vessel was current in 20 p.c. Persistently, the nerve exited a foramen within the frontal bone on common three.four ± zero.47 cm superior to the lateral canthus.
CONCLUSIONS: The identification and correct avulsion neurectomy of this newly described sensory frontotemporal nerve might result in higher surgical response price throughout migraine surgical procedure. As well as, this nerve ought to be thought-about throughout nerve block and botulinum toxin injections in migraine therapy. The existence of the accompanying vessel may have important implications within the security of filler and fats injections to this space.
PMID: 29697624 [PubMed – in process]