Surgical Management of Migraines

  • Eric J. Wright
  • William G. AustenJr.Email author


Patients diagnosed with medically refractory chronic migraines represent a challenging population to offer symptomatic improvement. However, if the symptoms are determined to be caused by a peripheral nerve, decompression surgery has been found to obtain complete resolution. Though any nerve around the head and neck could cause either neuralgia or be a trigger for migraines, the four common nerves have been found to be the supraorbital nerve, zygomaticotemporal nerve, greater occipital nerve, and ethmoidal nerves innervating the nasal septum. Surgical techniques have evolved to address the specific areas. Migraine surgery is an evolving field that is offering treatments option for patients that suffer from a debilitating condition.


Migraine surgery Peripheral migraine trigger Migraine decompression surgery Greater occipital nerve Supraorbital nerve Zygomaticotemporal nerve Zygomaticofacial nerve Septoplasty Peripheral neuralgia 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Plastic and Reconstructive Surgery, Department of SurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA
  2. 2.Division of Plastic and Reconstructive SurgeryHarvard Medical School, Massachusetts General HospitalBostonUSA

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