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Technical Strategies – Doppler Probe in Temporal Migraine Surgery

The cause of certain migraine headaches is now well known be caused by peripheral compression of cranial sensory nerves usually caused by muscular contraction. This compression causes nerve irritation and serves as the nidus for the initiation of the migraine. In the auriculotemporal nerve migraine trigger area, its close association with the superficial temporal artery Read More…

Technical Strategies in Plastic Surgery – Fat Grafting in Migraine Surgery

Contemporary migraine surgery for the treatment of perpheral triggers involves decompression of the involved nerves. The most common involved nerves include the supraorbital, supratrochlear and the greater and lesser occipital nerves. (the zygomaticotemporal and auriculotemporal nerves are avulsed so they are excluded)  The success of nerve decompression depends on adequate release of the enveloping muscle Read More…

The Success of Temporal Migraine Headache Surgery

Certain types of migraine headaches have been attributed to compression of the extracranial portions of the trigeminal nerves. One of the four main types of peripheral compression migraines are temporal-based which result from the temporal muscle squeezing the zygomaticotemporal branch of the trigeminal nerve. (there could also be a concomitant effect of a tight fascial Read More…

Occipital Nerve Excision in Migraine Surgery

The most common surgical treatment today for migraine headaches that are due to peripheral occipital nerve impingement is decompression as the nerve courses through the neck muscles and fascia. While this operation has a significant rate of symptom improvement, not all patients get better and some who get better relapse back after a period of Read More…

Postoperative Instructions: Migraine Surgery

  Migraine surgery can be done in the properly selected patient through decompression of what is known as peripheral triggers. These are various locations of large sensory nerves that may be entrapped by muscle and other tissues as they exit the skull bone. Three such peripheral triggers have been identified including the supraorbital nerves for Read More…

Consent for Plastic Surgery: Migraine Surgery

  Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the Read More…

Case Study: Forehead Lipoma as a Source of Migraines

Background: One source of forehead migraine pain is compression of the supraorbital nerve. Squeezing of the nerve as it comes out of the supraorbital foramen or notch by the enveloping muscles is a well recognized source of migraines that is treatable by decompression either through Botox injections or surgical removal of muscle tissue. (migraine surgery) Read More…

Patient Testimonials: Migraine Surgery

    Dr. Eppley, I really want to thank you for changing my life. I can not express my appreciation for what a difference you have made. I was in such pain every day and after spending 25 years in school it is quite disheartening not to be able to rely on your brain. I Read More…

Complete Decompression of the Supraorbital Nerve in Frontal Migraine Surgery

The treatment of frontal-based migraines by supraorbital and supratrochlear nerve decompression (stripping the muscle away from the nerves) has made a significant contribution to improved results for well qualified patients. (positive Botox responders)While it does not always cure every patient, numerous studies support that migraine headache frequency and severity are decreased in the majority of Read More…

Auriculotemporal Nerve Decompression for the Treatment of Temporal Migraines

  The trigger point mechanism for migraine headaches has been revolutionary in helping some patients achieve partial or complete relief of their headaches. It is based on identifying one or more of the four peripheral triggers points, frontal (supraorbital/supratrochlear nerves), occipital (greater occipital nerves), temporal (zygomaticotemporal nerve) and nasal (septum/turbinates), for injectable Botox or surgical Read More…

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