Endoscopic approaches to the supraorbital nerve for migraine surgery has been shown to be superior to direct transpalpebral approaches. This modification to the endoscopic approach, with the use of a D-knife blade, can be employed in patients with a long forehead or severe frontal bossing, which may normally lead to difficult access and visualization of the supraorbital foramen.
Migraine Headache Frontal Supraorbital Endoscopic Decompression Surgery D-knife
This is a preview of subscription content, log in to check access.
Chepla KJ, Oh E, Guyuron B. Clinical outcomes following supraorbital foraminotomy for treatment of frontal migraine headache. Plast Reconstr Surg. 2012;129:656e–62e.CrossRefGoogle Scholar
Hagan RR, Fallucco MA, Janis JE. Supraorbital rim syndrome: definition, surgical treatment, and outcomes for frontal headache. Plast Reconstr Surg Glob Open. 2016;4:e795.CrossRefGoogle Scholar
Liu MT, Chim H, Guyuron B. Outcome comparison of endoscopic and transpalpebral decompression for treatment of frontal migraine headaches. Plast Reconstr Surg. 2012;129:1113–9.CrossRefGoogle Scholar
Amirlak B. Discussion: outcome comparison of endoscopic and transpalpebral decompression for treatment of frontal migraine headaches. Plast Reconstr Surg. 2012;129:1120–2.CrossRefGoogle Scholar