MedicalResearch.com Interview with:
Dr. Bahman Guyuron MD
Cleveland and Lyndhurst, Ohio From the Department of Plastic Surgery, University Hospital Case Medical Center; and the American Migraine Center
Medical Research: What is the background for this study?
Dr. Guyuron: Through several studies including retrospective, prospective pilot, prospective randomized, prospective randomized study with sham surgery, prospective randomized study with 5 year follow up, basic science analysis comparing the nerves of the patients who do not have migraine to those who do not have migraine headaches we have demonstrated efficacy of migraine surgery and the rational for effectiveness of this operation. The later study demonstrated that the patients who experience migraine headaches may have deficiency in myelin membrane protecting the peripheral nerves. Four other centers have reported similar experience independently.
Medical Research: What are the main findings?
Dr. Guyuron: Most of the surgical procedures that the I have developed for migraine surgery in the forehead, occipital area and the nose focus on decompression of the nerves. However, in dealing with some of the temporal migraine headaches involving the zygomticotemporal branch of the trigeminal nerve we perform neurectomy for years. The nature of the this procedure which involves removing a small segment this 1 mm nerve, is unsettling to us, the patients and the neurologist. The purpose of this study was to compare the outcome of the neurectomy to decompression for the patients with temporal headaches.
Medical Research: What should clinicians and patients take away from your report?
Dr. Guyuron: The study demonstrated the there is no statistical difference between the outcome migraine surgery in temple area using neurectomy or nerve decompression. Based this study the clinician can use either technique having the some level of confidence. Should the decompression fail it would offer an opportunity for a plan B which would be removing a segment of the nerve.
A Prospective Randomized Outcomes Comparison of Two Temple Migraine Trigger Site Deactivation Techniques
Guyuron B1, Harvey D, Reed D.
Plast Reconstr Surg. 2015 Jul;136(1):159-65. doi: 10.1097/PRS.0000000000001322.
Dr. Bahman Guyuron MD, & Cleveland and Lyndhurst (2015). Study Compares Two Surgical Techniques To Relieve Migraine Headaches