Direct Lateral Canthal Approach to the Zygomaticotemporal Branch of the Trigeminal Nerve for Surgical Treatment of Migraines

Adam Hamawy, Xingchen Li, Kyle Sanniec, Bardia Amirlak

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Surgical treatment of migraine headaches involves avulsion or decompression of the affected peripheral nerves. One of the sites targeted is site II, the zygomaticotemporal branch of the trigeminal nerve. Although traditionally the procedure involved either an endoscopic or transpalpebral approach to access the nerve, both methods involve general anesthesia in an operating room. The senior authors developed a new technique to directly access the nerve by means of a transverse lateral canthal extension incision that can be performed under local anesthesia in an office setting. A cadaver dissection to assess safety and anatomical variability was performed with visualization and complete avulsion of the zygomaticotemporal branch of the trigeminal nerve in all cases, with no injury to surrounding structures. An office-based procedure for zygomaticotemporal branch of the trigeminal nerve compression can help reduce the risks and costs associated with a general anesthetic and can be used for patients with isolated migraines localized to the zygomaticotemporal branch of the trigeminal nerve or recurrent secondary triggers to that area. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

Original languageEnglish (US)
Pages (from-to)98e-101e
JournalPlastic and reconstructive surgery
Volume144
Issue number1
DOIs
StatePublished - Jul 1 2019

Fingerprint

Trigeminal Nerve
Migraine Disorders
Trigger Points
General Anesthetics
Local Anesthesia
Operating Rooms
Therapeutics
Decompression
Peripheral Nerves
Cadaver
General Anesthesia
Dissection
Safety
Costs and Cost Analysis
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Direct Lateral Canthal Approach to the Zygomaticotemporal Branch of the Trigeminal Nerve for Surgical Treatment of Migraines. / Hamawy, Adam; Li, Xingchen; Sanniec, Kyle; Amirlak, Bardia.

In: Plastic and reconstructive surgery, Vol. 144, No. 1, 01.07.2019, p. 98e-101e.

Research output: Contribution to journalArticle

@article{b040da1ec9bc4d9696532976d6777ae8,
title = "Direct Lateral Canthal Approach to the Zygomaticotemporal Branch of the Trigeminal Nerve for Surgical Treatment of Migraines",
abstract = "Surgical treatment of migraine headaches involves avulsion or decompression of the affected peripheral nerves. One of the sites targeted is site II, the zygomaticotemporal branch of the trigeminal nerve. Although traditionally the procedure involved either an endoscopic or transpalpebral approach to access the nerve, both methods involve general anesthesia in an operating room. The senior authors developed a new technique to directly access the nerve by means of a transverse lateral canthal extension incision that can be performed under local anesthesia in an office setting. A cadaver dissection to assess safety and anatomical variability was performed with visualization and complete avulsion of the zygomaticotemporal branch of the trigeminal nerve in all cases, with no injury to surrounding structures. An office-based procedure for zygomaticotemporal branch of the trigeminal nerve compression can help reduce the risks and costs associated with a general anesthetic and can be used for patients with isolated migraines localized to the zygomaticotemporal branch of the trigeminal nerve or recurrent secondary triggers to that area. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.",
author = "Adam Hamawy and Xingchen Li and Kyle Sanniec and Bardia Amirlak",
year = "2019",
month = "7",
day = "1",
doi = "10.1097/PRS.0000000000005754",
language = "English (US)",
volume = "144",
pages = "98e--101e",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Direct Lateral Canthal Approach to the Zygomaticotemporal Branch of the Trigeminal Nerve for Surgical Treatment of Migraines

AU - Hamawy, Adam

AU - Li, Xingchen

AU - Sanniec, Kyle

AU - Amirlak, Bardia

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Surgical treatment of migraine headaches involves avulsion or decompression of the affected peripheral nerves. One of the sites targeted is site II, the zygomaticotemporal branch of the trigeminal nerve. Although traditionally the procedure involved either an endoscopic or transpalpebral approach to access the nerve, both methods involve general anesthesia in an operating room. The senior authors developed a new technique to directly access the nerve by means of a transverse lateral canthal extension incision that can be performed under local anesthesia in an office setting. A cadaver dissection to assess safety and anatomical variability was performed with visualization and complete avulsion of the zygomaticotemporal branch of the trigeminal nerve in all cases, with no injury to surrounding structures. An office-based procedure for zygomaticotemporal branch of the trigeminal nerve compression can help reduce the risks and costs associated with a general anesthetic and can be used for patients with isolated migraines localized to the zygomaticotemporal branch of the trigeminal nerve or recurrent secondary triggers to that area. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

AB - Surgical treatment of migraine headaches involves avulsion or decompression of the affected peripheral nerves. One of the sites targeted is site II, the zygomaticotemporal branch of the trigeminal nerve. Although traditionally the procedure involved either an endoscopic or transpalpebral approach to access the nerve, both methods involve general anesthesia in an operating room. The senior authors developed a new technique to directly access the nerve by means of a transverse lateral canthal extension incision that can be performed under local anesthesia in an office setting. A cadaver dissection to assess safety and anatomical variability was performed with visualization and complete avulsion of the zygomaticotemporal branch of the trigeminal nerve in all cases, with no injury to surrounding structures. An office-based procedure for zygomaticotemporal branch of the trigeminal nerve compression can help reduce the risks and costs associated with a general anesthetic and can be used for patients with isolated migraines localized to the zygomaticotemporal branch of the trigeminal nerve or recurrent secondary triggers to that area. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

UR - http://www.scopus.com/inward/record.url?scp=85069177589&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069177589&partnerID=8YFLogxK

U2 - 10.1097/PRS.0000000000005754

DO - 10.1097/PRS.0000000000005754

M3 - Article

C2 - 31246831

AN - SCOPUS:85069177589

VL - 144

SP - 98e-101e

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 1

ER -