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Endoscopic decompression more effective for migraines

Cleveland — Forehead lift using an endoscopic decompression approach may be more effective for treating frontal migraine headaches than the transpalpebral approach, according to a recent study.

The study, led by researchers with Case Western Reserve University School of Medicine, Cleveland, involved reviewing the charts of 253 patients who underwent surgery to treat frontal migraines. The patients had either endoscopic nerve decompression or transpalpebral nerve decompression.

Of those in the endoscopic group, 89 percent reported a successful outcome, which was at least a 50 percent decrease in migraine frequency, intensity or duration one year after surgery. In the transpalpebral group, 79 percent of patients had successful outcomes.

“Endoscopic nerve decompression was found to be more successful at reducing or eliminating frontal migraine headaches than transpalpebral nerve decompression and should be selected as the first choice whenever it is anatomically feasible,” the study authors wrote.

The study was published in the May issue of Plastic and Reconstructive Surgery.

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