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Decompression Endoscopic Surgery for Frontal Secondary Headache Attributed to Supraorbital and Supratrochlear Nerve Entrapment: The Utrecht Experience

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Atlas of Surgical Therapy for Migraine and Tension-Type Headache

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Abstract

In the last decade, a new surgical treatment modality was developed for frontal secondary headache, based on the assumption that the trigger of this pain entity is the entrapment of peripheral sensory nerves. The surgery entails a procedure, where an endoscopic approach is used to decompress the supraorbital and supratrochlear nerve branches, which are entrapped by the periosteum in the region of the corrugator supercilii muscle. Candidates for the surgery define their headache as moderate to severe persistent daily pressure or tension, localized in the frontal area, sometimes accompanied by symptoms of nausea and photophobia mimicking a primary headache—migraine. We created a step-by-step screening algorithm which is used to differentiate patients that have the highest chance for a successful surgical decompression. Up to now, published data regarding this type of surgery demonstrate long-lasting successful outcomes, while adverse effects are minor.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology/Head and Neck Surgery, University Hospital Sveti Duh, Zagreb, Croatia

    Boris Filipović

  2. Department of Otorhinolaryngology/Head and Neck Surgery, Center for Facial Plastic and Reconstructive Surgery, Diakonessen Hospital, Utrecht, The Netherlands

    Boris Filipović & Peter J. F. M. Lohuis

  3. Department of Pharmacology, Laboratory of Molecular Neuropharmacology, University of Zagreb School of Medicine, Zagreb, Croatia

    Boris Filipović

  4. Poliklinika Lohuis Filipović Medical Group d.o.o., Private Clinic, Zagreb, Croatia

    Boris Filipović & Peter J. F. M. Lohuis

  5. Department of Otorhinolaryngology/Head and Neck Surgery, Central Military Hospital, Utrecht, The Netherlands

    J. Alexander de Ru

Authors
  1. Boris Filipović
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  2. J. Alexander de Ru
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  3. Peter J. F. M. Lohuis
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Corresponding author

Correspondence to Boris Filipović .

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Editors and Affiliations

  1. Department of Medicine and Surgery, University of Parma, Parma, Italy

    Edoardo Raposio

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Filipović, B., de Ru, J.A., Lohuis, P.J.F.M. (2020). Decompression Endoscopic Surgery for Frontal Secondary Headache Attributed to Supraorbital and Supratrochlear Nerve Entrapment: The Utrecht Experience. In: Raposio, E. (eds) Atlas of Surgical Therapy for Migraine and Tension-Type Headache. Springer, Cham. https://doi.org/10.1007/978-3-030-29505-9_10

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  • DOI: https://doi.org/10.1007/978-3-030-29505-9_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29504-2

  • Online ISBN: 978-3-030-29505-9

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