Microsurgical decompression of the supraorbital nerve in the treatment of chronic neuropathic pain in the frontal-temporal area
https://doi.org/10.52581/1814-1471/77/06
Abstract
Chronic headache is common. One of the causes of frontal-temporal pain may be compression of sensory nerves from the trigeminal nerve system, for example, the supraorbital nerve. Our study involved 12 women with symptoms of supraorbital nerve neuralgia resistant to drug correction. He underwent microsurgical decompression of the supraorbital nerve. The results of the operation were assessed by the change in the level of neuropathic pain using the PainDetect questionnaire and the degree of psychosocial maladjustment of the patient according to the MIDAS questionnaire, before and after the operation. The data obtained indicate a significant decrease in the level of neuropathic pain in patients 1 month after surgery and a significant minimization of the effect of headache on the quality of life in patients 3 months after surgery. Two out of 12 women did not notice any improvement, which required repeated delayed revision and extended proximal decompression of the supraorbital nerve with dissection of m. corrugator supercilii fibers. After the myotomy, pain regression was achieved and the patients noted that they were satisfied with the result.
About the Authors
A. V. Baytinger
Institute of Microsurgery
Russian Federation
Russian Federation
Andrey V. Baytinger, Cand. Med. sci., plastic surgeon.
96, Ivan Chernykh st, Tomsk, 634063
N. V. Isaeva
Krasnoyarsk State Medical University named after Prof. V.F. Voyno-Yasenetsky
Russian Federation
Russian Federation
Natalia V. Isaeva, Dr. Med. sci., Associate Professor, Professor, the Department of Nervous Diseases.
1, Partizan Zheleznyak st., Krasnoyarsk, 660022
References
1. Mackinnon S.E. Nerve surgery. New York, Thieme, 2015:646 p.
2. Ashkenazi A., Levin M. Three common neuralgias: how to manage trigeminal, occipital, and postherpetic pain. Postgrad Med. 2004;116:16-18, 21-24, 31-32.
3. Headache Classification Committee of the International Headache Society. The International Classification of Headache Disorders. 2nd ed. Cephalalgia. 2004;24:1-160.
4. Data from Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia. 1988;8(Suppl 7):1-96.
5. Baandrup L., Jensen R. Chronic post-traumatic headache: a clinical analysis in relation to the International Headache Classification, 2nd ed. Cephalalgia. 2005;25:132-138.
6. Solomon S., Goodrich J.T. Supraorbital neuralgia. Headache. 1999;39:680-681.
7. Katusic S, Beard C.M, Bergstralh E., Kurland L.T. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol. 1990;27:89-95.
8. Sjaastad O., Stolt-Nielsen A., Pareja J.A., Fredriksen T.A., Vincent M. Supraorbital neuralgia: on the clinical manifestations and a possible therapeutic approach. Headache. 1999;39:204-212.
9. Guyuron B., Kriegler J.S., Davis J., Amini S.B. Comprehensive surgical treatment of migraine headaches. Plast Reconstr Surg. 2005;115:1-9.
10. Pareja JA, Caminero AB. Supraorbital neuralgia. Curr Pain Headache Rep. 2006;10:302-305.
11. Bovim G., Sand T. Cervicogenic headache, migraine without aura and tension-type headache. Diagnostic blockade of greater occipital and supra-orbital nerves. Pain. 1992;51:43-48.
12. Freynhagen R., Baron R., Gockel U., Tolle T.R. PainDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin. 2006; Oct;22(10):1911-20.
13. Stewart W.F., Lipton R.B., Dowson A.J., et al. Development and testing of the Migraine Disability Assessment (MIDAS) questionnaire to assess headache-related disability. Neurology. 2001;56(6 Suppl 1):S20-S28.
14. Beyer T.E. Idiopathic supraorbital neuralgia. Laryngoscope. 1949;59(11):1273-5.
15. Agrawal S.M., Kambalimath D.H. Trigeminal neuralgia involving supraorbital and infraorbital nerves. Natl J MaxillofacSurg. 2010;1(2):179-182. doi: 10.4103/0975-5950.79226
16. Slavin K.V., Colpan M.E., Munawar N., Wess C., Nersesyan H. Trigeminal and occipital peripheral nerve stimulation for craniofacial pain: a single-institution experience and review of the literature. Neurosurg Focus 2006;21:E5.
17. Ashkenazi A., Matro R., Shaw J.W., Abbas M.A., Silberstein S.D. Greater occipital nerve block using local anaesthetics alone or with triamcinolone for transformed migraine: a randomised comparative study. J Neurol Neurosurg Psychiatry 2008;79:415-417.
18. Hagan R.R., Fallucco M.A., Janis J.E. Supraorbital Rim Syndrome: Definition, Surgical Treatment, and Outcomes for Frontal Headache. Plast Reconstr Surg Glob Open. 2016 Jul 12;4(7):e795.
19. Andersen N.B., Bovim G., Sjaastad O. The frontotemporal peripheral nerves. Topographic variations of the supraorbital, supratrochlear and auriculotemporal nerves and their possible clinical significance. Surg Radiol Anat. 2001;23(2):97-104.
20. Janis J.E., Ghavami A., Lemmon J.A., LeedyJ.E., Guyuron B. The anatomy of the corrugator supercilii muscle: part II. Supraorbital nerve branching patterns. Plast Reconstr Surg. 2008 Jan;121(1):233-240. doi: 10.1097/01.prs.0000299260.04932.38
21. Guyuron B., Varghai A., Michelow B. J., Thomas T., and Davis J. Corrugator supercilii muscle resection and migraine headaches. Plast. Reconstr. Surg. 2000,-106: 429.
22. Janis J.E., Hatef D.A., Hagan R., et al. Anatomy of the supratrochlear nerve: implications for the surgical treatment of migraine headaches. Plastic and Reconstructive Surgery. 2013 Apr;131(4):743-750
23. Fallucco M., Janis J.E., Hagan R.R. The anatomical morphology of the supraorbital notch: clinical relevance to the surgical treatment of migraine headaches. PlastReconstr Surg. 2012;130:1227-1233.
24. Spinner D., Kirschner J.S. Accuracy of ultrasound-guided superficial trigeminal nerve blocks using methylene blue in cadavers. Pain Med. 2012 Nov;13(11):1469-73. doi: 10.11n/j.1526-4637.2012.01480.x
Review
For citations:
Baytinger A.V., Isaeva N.V. Microsurgical decompression of the supraorbital nerve in the treatment of chronic neuropathic pain in the frontal-temporal area. Issues of Reconstructive and Plastic Surgery. 2021;24(2):57-63. (In Russ.) https://doi.org/10.52581/1814-1471/77/06
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