The Role of Plastic Surgery in Management of Migraine Headaches: A Literature Review
Main Article Content
Abstract
Introduction: Migraine headache is a neurovascular disorder characterized by primary chronic headache pain, with attacks lasting between 4 to 72 hours. Plastic surgery interventions such as targeted nerve decompression and Botox injections can provide better results.
Methods: We created this literature review by compiling and analysing data and information from publicly accessible scientific journals available on the web.
Results and Discussions: Many studies show that surgical treatment for chronic migraines can produce substantial results. However, such surgery is only effective for those who have not benefited from other treatments. Botox injections can block NO and CGRP activation in the central nervous system, whereas nerve decompression can lessen the activity of pain-signaling nerves associated with chronic migraine headaches. Overall, 68.3% to 93.3% of patients reported satisfactory results. Complete elimination of migraine headaches was achieved in 28.3% to 59% of cases, while significant improvement was observed in 26.5% to 60% of patients.
Conclusion: Botulinum injections for migraine headache treatment are more effective when combined with nerve decompression procedures. Giving preoperative Botox injections can reduce NO activation in the CNS, thereby limiting the activity of decompressed nerves and alleviating migraine headache symptoms.
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