• Thomas Muehlberger


Postoperative complications of migraine surgery are infrequent and predominantly of minor nature. The procedures, in contrast, should not be seen as minor surgery. Although they are mostly performed on an outpatient basis, an undisturbed recovery phase is of critical importance to ensure a successful outcome. Patients may experience relapsing migraine due to the emergence of previously unidentified trigger sites. The screening of a variety of potentially clinically relevant pain localizations can minimize the delayed activation of secondary sites. Migraine patients should be advised about the possible development of other, not yet targeted sites. Possible causes for surgery failure include the unrestrained use of triptans, the unnoticed coexistence of cervicogenic headache, and the incomplete surgical deactivation of trigger sites.


  1. 1.
    Egan KG, Israel JS, Ghasemzadeh R, Afifi AM. Evaluation of migraine surgery outcomes through social media. Plast Reconstr Surg Glob Open. 2016;4:e1084.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Janis JE, Barker JC, Javadi C, Ducic I, Hagan R, Guyuron B. A review of current evidence in the surgical treatment of migraine headaches. Plast Reconstr Surg. 2014;134:S131–41.CrossRefGoogle Scholar
  3. 3.
    Murthum K, Pogorelov P, Bergua A. Preseptal cellulitis as a complication of surgical treatment of migraine headaches (Article in German). Klin Monatsbl Augenheilkd. 2009;226:572–3.CrossRefPubMedGoogle Scholar
  4. 4.
    Kinard KI, Smith AG, Singleton JR, et al. Chronic migraine is associated with reduced corneal nerve fiber density and symptoms of dry eye. Headache. 2015;55:543–9.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Dirnberger F, Becker K. Surgical treatment of migraine headaches by corrugator muscle resection. Plast Reconstr Surg. 2004;114:652–657; discussion 658.CrossRefPubMedGoogle Scholar
  6. 6.
    Larson K, Lee M, Davis J, Guyuron B. Factors contributing to migraine headache surgery failure and success. Plast Reconstr Surg. 2011;128:1069–75.CrossRefPubMedGoogle Scholar
  7. 7.
    Gfrerer L, Maman DY, Tessler O, et al. Nonendoscopic deactivation of nerve triggers in migraine headache patients: surgical technique and outcomes. Plast Reconstr Surg. 2014;134:771–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Guyuron B, Kriegler JS, Davis J, Amini SB. Five-year outcome of surgical treatment of migraine headaches. Plast Reconstr Surg. 2011;127:603–879.CrossRefPubMedGoogle Scholar
  9. 9.
    Guyuron B. Is migraine surgery ready for prime time? The surgical team’s view. Headache. 2015;55:1464–73.CrossRefPubMedGoogle Scholar
  10. 10.
    Janis JE, Dhanik A, Howard JH. Validation of the peripheral trigger point theory of migraine headaches: single-surgeon experience using botulinum toxin and surgical decompression. Plast Reconstr Surg. 2011;128:123–31.CrossRefPubMedGoogle Scholar
  11. 11.
    Punjabi A, Brown M, Guyuron B. Emergence of secondary trigger sites after primary migraine surgery. Plast Reconstr Surg. 2016;137:712e–6e.CrossRefPubMedGoogle Scholar
  12. 12.
    Poggi JT, Grizzell BE, Helmer SD. Confirmation of surgical decompression to relieve migraine headaches. Plast Reconstr Surg. 2008;122:115–22.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Thomas Muehlberger
    • 1
  1. 1.Medsteps AGChamSwitzerland

Personalised recommendations