Vascularized Denervated Muscle Targets for Headache Surgery-Presentation and Surgical Management.
J Craniofac Surg
; 34(8): 2450-2452, 2023.
Article
en En
| MEDLINE
| ID: mdl-37791796
ABSTRACT
Patients with substantial trauma to their occipital nerves and those with recurrent or persistent chronic headaches after occipital nerve decompression surgery require transection of their greater occipital and/or lesser occipital nerves to control debilitating pain. Current techniques, such as burying the transected nerve stump in nearby muscle, do not prevent neuroma formation, and more advanced techniques, such as targeted muscle reinnervation and regenerative peripheral nerve interface, have demonstrated only short-term anecdotal success in the context of headache surgery. Vascularized denervated muscle targets (VDMTs) are a novel technique to address the proximal nerve stump after nerve transection that has shown promise to improve chronic nerve pain and prevent neuroma formation. However, VDMTs have not been described in the context of headache surgery. Here authors describe the etiology, workup, and surgical management of 2 patients with recurrent occipital neuralgia who developed vexing neuromas after previous surgery and were successfully treated with VDMTs, remaining pain-free at 3-year follow-up.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dolor Crónico
/
Neuralgia
/
Neuroma
Límite:
Humans
Idioma:
En
Año:
2023
Tipo del documento:
Article