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Forehead Surgery

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Migraine Surgery

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Abstract

The surgery of the forehead concerns mainly the corrugator supercilii muscle. The Latin term “ruga” in corrugator means crease or wrinkle. In relation to facial expression, it has been called the “muscle of trouble,” and upon contraction, it gives the impression of anger and displeasure [2, 3]. It also plays an important role in the aging process of the face. The combination of increased muscle contractility and dermal thinning often induces the glabellar frown lines to become more prominent with advancing age. This effect was aptly described by Shakespeare in one of his sonnets [5]:

Time doth transfix the flourish set on youth

and delves the parallels in beauty’s brow

“His headache was still sitting over his right eye as if it had been nailed there.”

Ian Fleming, Moonraker [1].

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References

  1. Fleming I. Moonraker. London: Jonathan Cape; 1955.

    Google Scholar 

  2. Webster RC, Gaunt JM, Hamdan US, Fuleihan NS, Giandello PR, Smith RC. Supraorbital and supratrochlear notches and foramina: anatomical variations and surgical relevance. Laryngoscope. 1986;96:311–5.

    Article  CAS  PubMed  Google Scholar 

  3. Wolff E. Anatomy of the eye and orbit. Philadelphia: WB Saunders; 1961. p. 179.

    Google Scholar 

  4. Knize DM. An anatomically based study of the mechanism of eyebrow ptosis. Plast Reconstr Surg. 1996;97:1321–33.

    Article  CAS  PubMed  Google Scholar 

  5. Shakespeare W. Sonnett Nr 60. http://www.shakespeares-sonnets.com/sonnet/60

  6. Muehlberger T, Fischer P, Lehnhardt M. The anatomy of the surgical treatment of migraine (Article in German). Zentralbl Chir. 2005;130:288–92.

    Article  CAS  PubMed  Google Scholar 

  7. Knize DM. Muscles that act on glabellar skin: a closer look. Plast Reconstr Surg. 2000;105:350–61.

    Article  CAS  PubMed  Google Scholar 

  8. Coiter V. Lectures on the corresponding parts of the human body. In: Opuscula selecta Neerlandicorum de arte medica, vol. 18. Amsterdam: Sumptibus Societatis; 1955. p. 117.

    Google Scholar 

  9. Mark HH. Volcher Coiter on the eye. Eye. 2009;23:1629–32.

    Article  CAS  PubMed  Google Scholar 

  10. Gray H. Anatomy: descriptive and surgical. London: John W Parker and Son; 1858.

    Google Scholar 

  11. Hwang K, Lee JH, Lim HJ. Anatomy of the corrugator muscle. J Craniofac Surg. 2017;28:524–7.

    Article  PubMed  Google Scholar 

  12. Janis JE, Ghavami A, Lemmon JA, Leedy JE, Guyuron B. Anatomy of the corrugator supercilii muscle: Part I. Corrugator topography. Plast Reconstr Surg. 2007;120:1647–53.

    Article  CAS  PubMed  Google Scholar 

  13. Park JI, Hoagland TM, Park MS. Anatomy of the corrugator supercilii muscle. Arch Facial Plast Surg. 2003;5:412–5.

    Article  PubMed  Google Scholar 

  14. Isse NG, Elahi MM. The corrugator supercilii muscle revisited. Aesthet Surg J. 2001;21:209–15.

    Article  CAS  PubMed  Google Scholar 

  15. Knize DM. Discussion: Corrugator supercilii resection through blepharoplasty incision. Plast Reconstr Surg. 2001;107:606–7.

    Article  PubMed  Google Scholar 

  16. Lans J, Schellekens PP, de Ru JA, Bleys RL. Motor innervation of the corrugator supercilii muscle in relation to orbital landmarks: guidelines for surgical denervation. J Craniofac Surg. 2016;27(5):1331.

    Article  PubMed  Google Scholar 

  17. Guyuron B, Son JH. Transpalpebral corrugator resection: 25-year experience, refinements and additional indications. Aesthet Plast Surg. 2017;41:339–45.

    Article  Google Scholar 

  18. Cook BE, Lucarelli MJ, Lemke BN. Depressor supercilii muscle. Ophtal Plast Reconstr Surg. 2001;17:404–11.

    Article  Google Scholar 

  19. Macdonald MR, Spiegel JH, Raven RB, Kabaker SS, Maas CS. An anatomical approach to glabellar rhytids. Arch Otolaryngol Head Neck Surg. 1998;124:1315–20.

    Article  CAS  PubMed  Google Scholar 

  20. Slivinskis IB, Faiwichow L, Lemos Dias FC. Transpalpebral approach to the corrugator supercilii and procerus muscles. Plast Reconstr Surg. 2000;105:803–4.

    Article  CAS  PubMed  Google Scholar 

  21. Bernstein L. Comments on anatomy of the corrugator supercilii muscle. Arch Facial Plast Surg. 2004;6:272–3; author reply 273–4.

    Article  PubMed  Google Scholar 

  22. Ellis D, Bakala CD. Anatomy of the motor innervation of the corrugator supercilii muscle: clinical significance and development of a new surgical technique for frowning. J Otolaryngol. 1998;27:222–7.

    PubMed  CAS  Google Scholar 

  23. Ellis DA, Cousin JN. Denervation of the corrugator supercilii muscle. Facial Plast Surg Clin North Am. 2000;8:355–62.

    Google Scholar 

  24. Knize DM. Transpalpebral approach to the corrugator supercilii and procerus muscles. Plast Reconstr Surg. 1995;95:52–60.

    Article  CAS  PubMed  Google Scholar 

  25. Hwang K, Kim YJ, Chung ICH. Innervation of the corrugator supercilii muscle. Ann Plast Surg. 2004;52:140–3.

    Article  PubMed  Google Scholar 

  26. Ouattara D, Vacher C, de Vasconcellos JJ, Kassanyou S, Gnanazan G, N’Guessan B. Anatomical study of the variations in innervation of the orbicularis oculi by the facial nerve. Surg Radiol Anat. 2004;26:51–3.

    Article  CAS  PubMed  Google Scholar 

  27. Schmidt BL, Pogrel MA, Hakim-Faal Z. The course of the temporal branch of the facial nerve in the periorbital region. J Oral Maxillofac Surg. 2001;59:178–84.

    Article  CAS  PubMed  Google Scholar 

  28. Caminer DM, Newman MI, Boyd JB. Angular nerve: new insights on innervation of the corrugator supercilii and procerus muscles. J Plast Reconstr Aesthet Surg. 2006;59:366–72.

    Article  CAS  PubMed  Google Scholar 

  29. Nemoto Y, Sekino Y, Kaneko H. Facial nerve anatomy in eyelids and periorbit. Jpn J Ophthalmol. 2001;45:445–52.

    Article  CAS  PubMed  Google Scholar 

  30. Benedetto AV, Lahti JG. Measurement of the anatomic position of the corrugator supercilii. Dermatol Surg. 2005;31:923–7.

    Article  CAS  PubMed  Google Scholar 

  31. Cuzalina AL, Holmes JD. A simple and reliable landmark for identification of the supraorbital nerve in surgery of the forehead: an in vivo anatomical study. J Oral Maxillofac Surg. 2005;63:25–7.

    Article  PubMed  Google Scholar 

  32. Beer GM, Putz R, Mager K, Schumacher M, Keil W. Variations of the frontal exit of the supraorbital nerve: an anatomic study. Plast Reconstr Surg. 1998;102:334–41.

    Article  CAS  PubMed  Google Scholar 

  33. Erdogmus S, Govsa F. Anatomy of the supraorbital region and the evaluation of it for the reconstruction of facial defects. J Craniofac Surg. 2007;18:104–12.

    Article  PubMed  Google Scholar 

  34. Knize DM. A study of the supraorbital nerve. Plast Reconstr Surg. 1995;96:564–9.

    Article  CAS  PubMed  Google Scholar 

  35. Saylam C, Ozer MA, Ozerk C, Gurler T. Anatomical variations of the frontal and supraorbital transcranial passages. J Craniofac Surg. 2003;14:10–2.

    Article  PubMed  Google Scholar 

  36. Shimizu S, Osawa S, Utsuki S, Oka H, Fujii K. Course of the bony canal associated with high-positioned supraorbital foramina: an anatomic study to facilitate safe mobilization of the supraorbital nerve. Minim Invasive Neurosurg. 2008;51:119–23.

    Article  CAS  PubMed  Google Scholar 

  37. Fallucco M, Janis JE, Hagan RR. The anatomical morphology of the supraorbital notch: clinical relevance to the surgical treatment of migraine headaches. Plast Reconstr Surg. 2012;130:1227–33.

    Article  CAS  PubMed  Google Scholar 

  38. Janis JE, Hatef DA, Hagan R, et al. Anatomy of the supratrochlear nerve: implications for the surgical treatment of migraine headaches. Plast Reconstr Surg. 2013;131:743–50.

    Article  CAS  PubMed  Google Scholar 

  39. Kimura K. Foramina and notches on the supraorbital margin in some racial groups. Kaibogaku Zasshi. 1977;52:203–9.

    PubMed  CAS  Google Scholar 

  40. Hwang K. Anatomy of the supratrochlear nerve: implications for the surgical treatment of migraine headaches. Plast Reconstr Surg. 2013;132:866e–7e.

    Article  CAS  PubMed  Google Scholar 

  41. Pauzenberger R, Pikula R, Berchtold V, Mühlbacher J, Rieger UM. Anatomy of the supratrochlear nerve: implications for the surgical treatment of migraine headaches. Plast Reconstr Surg. 2014;133:723e–4e.

    Article  CAS  PubMed  Google Scholar 

  42. Miller TA, Rudkin G, Honig M, Elahi M, Adams J. Lateral subcutaneous brow lift and interbrow muscle resection: clinical experience and anatomic studies. Plast Reconstr Surg. 2000;105:1120–1127; discussion 1128.

    Article  CAS  PubMed  Google Scholar 

  43. Sjaastad O, Stolt-Nielsen A, Pareja JA, Fredriksen TA, Vincent M. Supraorbital neuralgia: on the clinical manifestations and a possible therapeutic approach. Headache. 1999;39:204–12.

    Article  CAS  PubMed  Google Scholar 

  44. Chepla KJ, Oh E, Guyuron B. Clinical outcomes following supraorbital foraminotomy for treatment of frontal migraine headache. Plast Reconstr Surg. 2012;129:656e–62e.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Berchtold V, Stofferin H, Moriggl B, Brenner E, Pauzenberger R, Konschake M. The supraorbital region revisited: an anatomic exploration of the neuro-vascular bundle with regard to frontal migraine headache. J Plast Reconstr Aesthet Surg. 2017;70:1171–80.

    Article  PubMed  Google Scholar 

  46. Janis JE, Ghavami A, Lemmon JA, Leedy JE, Guyuron B. The anatomy of the corrugator supercilii muscle: Part II. Supraorbital nerve branching patterns. Plast Reconstr Surg. 2008;121:233–40.

    Article  CAS  PubMed  Google Scholar 

  47. Michelow BJ, Gguyuron B. Rejuvenation of the upper face. Clin Plast Surg. 1997;24:199–212.

    PubMed  CAS  Google Scholar 

  48. Guyuron B, Varghai A, Michelow BJ, Thomas T, Davis J. Corrugator supercilii muscle resection and migraine headaches. Plast Reconstr Surg. 2000;106:429–34; discussion 435–7.

    Article  CAS  PubMed  Google Scholar 

  49. Raposio E, Caruana G. Frontal endoscopic myotomies for chronic headache. J Craniofac Surg. 2015;26:201–3.

    Article  Google Scholar 

  50. Caruana G, Grignaffini E, Raposio E. Endoscopic forehead muscle resection for nerve decompression: a modified procedure. Plast Reconstr Surg Glob Open. 2015;3:e342.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Guyuron B, Kriegler JS, Davis J, Amini SB. Five-year outcome of surgical treatment of migraine headaches. Plast Reconstr Surg. 2011;127:603–8.

    Article  CAS  PubMed  Google Scholar 

  52. Caruana G, Bertozzi N, Grieco MP, Raposio E. EHMTI-0068. Facial plastic surgery for migraine therapy: personal procedures. J Headache Pain. 2014;15(S1):G6.

    Article  PubMed Central  Google Scholar 

  53. Walden JL, Brown CC, Klapper AJ, Chia CT, Aston SJ. An anatomical comparison of transpalpebral, endoscopic, and coronal approaches to demonstrate exposure and extent of brow depressor muscle resection. Plast Reconstr Surg. 2005;116:1479–87; discussion 1488–9.

    Article  CAS  PubMed  Google Scholar 

  54. Knize DM. Discussion: An anatomical comparison of transpalpebral, endoscopic, and coronal approaches to demonstrate exposure and extent of brow depressor muscle resection. Plast Reconstr Surg. 2007;119:1374–7; author reply 1377–9.

    Article  PubMed  Google Scholar 

  55. Afifi AM, Alghoul M, Zor F, Kusuma S, Zins JE. Comparison of the transpalpebral and endoscopic approaches in resection of the corrugator supercilii muscle. Aesthet Surg J. 2012;32:151–6.

    Article  PubMed  Google Scholar 

  56. 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.

    Article  CAS  PubMed  Google Scholar 

  57. Knize DM. Discussion: Outcome comparison of endoscopic and transpalpebral decompression for treatment of frontal migraine headaches. Plast Reconstr Surg. 2013;131:276e.

    Article  CAS  PubMed  Google Scholar 

  58. Amirlak B. Discussion: Outcome comparison for endoscopic and transpalpebral decompression for treatment of frontal migraine headaches. Plast Reconstr Surg. 2012;129:1120–2.

    Article  CAS  PubMed  Google Scholar 

  59. Gfrerer L, Maman DY, Tessler O, Austen WG Jr. Nonendoscopic deactivation of nerve triggers in migraine headache patients: surgical technique and outcomes. Plast Reconstr Surg. 2014;134:771–8.

    Article  CAS  PubMed  Google Scholar 

  60. Guyuron B, Michelow BJ, Thomas T. Corrugator supercilii muscle resection through blepharoplasty incision. Plast Reconstr Surg. 1995;95:691–6.

    Article  CAS  PubMed  Google Scholar 

  61. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Pitanguy I. Section of the frontalis-procerus-corrugator aponeurosis in the correction of frontal and glabellar wrinkles. Ann Plast Surg. 1979;2:422–7.

    Article  CAS  PubMed  Google Scholar 

  63. Snow JW, Obi LJ. Operation to abolish the glabellar frown. Plast Reconstr Surg. 1978;61:736–7.

    Article  CAS  PubMed  Google Scholar 

  64. Guyuron B. Corrugator supercilii resection through blepharoplasty incision. Plast Reconstr Surg. 2001;107:604–5.

    Article  CAS  PubMed  Google Scholar 

  65. Dufourmentel L. Chirurgie Reparatrice et Correctrice (Book in French). Paris, France: Masson & Cie; 1950. p. 56.

    Google Scholar 

  66. Edwards BF. Bilateral temporal neurotomy for frontalis hypermotility; case report. Plast Reconstr Surg. 1957;19:341–5.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Medsteps AG, Cham, Switzerland

    Thomas Muehlberger

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  1. Thomas Muehlberger
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Muehlberger, T. (2018). Forehead Surgery. In: Migraine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78117-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-78117-4_11

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