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头痛Surgery

Understanding headache surgery requires knowing the role trigger sites play in headaches. The most appropriate surgical approach is determined from the sites where your headaches are triggered. 并不是所有的头痛患者都需要Surgery治疗. The ideal candidate would have exhausted traditional headache treatments with limited or no success.

触发网站

人头痛有4种常见的头痛触发部位:

  • 前额-在前额
  • 暂时的-在任何一个寺庙
  • 鼻源性-在鼻腔区域
  •  枕部-位于头部后部

Less common trigger sites exist as well, including the area right above or behind the ear.

压缩神经

The trigeminal nerve is the largest cranial nerve in the body. Branches of the trigeminal nerve can become compressed at trigger sites by adjacent structures such as muscles, 船只, 骨头, 和软骨. This can ultimately inflame nerves and membranes surrounding the brain causing trigger symptoms such as nausea, vomiting and sensitivity to light and sounds which are commonly described prior to headache onset.

缓解压力

Relief is provided by either releasing muscle fiber or freeing nerves through decompression surgery. The specific nature of the surgery depends on the trigger site:

  • 额博士. Alizadeh releases the "frowning" muscles between the eyes – called the glabellar muscles – which irritate nerve branches on both sides and lead to headaches.
  • TEMPORAL A tiny branch of the trigeminal nerve is released. 这条神经给这个区域提供感觉.
  • RHINOGENIC Patients whose headaches are triggered intra-nasally may have a deviated septum, or enlarged turbinates coming in contact with the septum. Surgery前, each patient will undergo a computer tomography (CT) scan to help identify such abnormalities.
  • OCCIPITAL The occipital nerve runs down the back of the head and may be compressed by surrounding muscle or 船只. 在Surgery过程中, the muscle is removed from around the nerve to release the nerve and alleviate pressure.

头痛的老年妇女确定合适的Surgery候选人

Once it's determined that you suffer from chronic headaches and that traditional treatments to manage the condition aren't working, you will be asked to carefully chronicle your headaches in a diary for 4 weeks.

其他 steps involved in determining if headache surgery is appropriate include undergoing a full physical and neurological exam by a member of our multidisciplinary team. At this time lab work and radiographic imagining such as computer tomography (CT) scans will be ordered to rule out any organic cause of your symptoms. Nerve block injections to identify headache trigger sites as well as the use of Onobotulinumtoxin A (BOTOX®) injections may be necessary to confirm that you are a good surgical candidate.

最后, patients deemed good surgical candidates will need pre-operative medical clearance prior to surgery. Keep in mind that a headache is a dynamic condition and someone who is not presently a good candidate may become suitable for surgery in the future.

接受头痛Surgery

The outpatient procedure is minimally invasive and typically takes 2 hours or more, 取决于头痛触发部位的数量. Following surgery patients are continuously monitored from a surgical standpoint as well as seen by a multidisciplinary team including neurology and pain management.

副作用

几乎没有观察到副作用, but they include temporary hollowing at the temple and numbness in affected areas. Some side effects may also produce beneficial outcomes:

  • Fewer forehead wrinkles for patients who have the "frowning" muscles removed
  • Improved breathing for some patients whose headaches are triggered in the sinus area
  • 其他 side effects typical of any surgical procedure, such as bleeding or infection, are rare.

复苏

Swelling and bruising is common following the procedure. 这通常会持续一周到十天. There will be tubes placed temporarily under your scalp to help drain fluid from the surgical site. These drains are removed 2-4 days following surgery. Patients who undergo septum surgery may need to irrigate the nose daily for up to six weeks. 3周内应避免剧烈活动. Use of headache medication should significantly diminish following successful surgery.

Surgery背后的科学

A cure for headaches may sound too good to be true, 然而, there are several studies that have confirmed the minimally invasive surgical procedure’s efficacy. Please click the links below to read more about those studies.


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布拉德赫斯特大道19号,1300N室
瓦尔哈拉,纽约10532