Prospective Analysis of the Greater Occipital Nerve Location in Patients Undergoing Occipital Nerve Decompression

Annals of Plastic Surgery
Jacqueline S IsraelAhmed M Afifi

Abstract

Migraine surgery and onabotulinumtoxinA injections aim to deactivate neurovascular trigger points implicated in chronic headaches. The greater occipital nerve (GON) is a common trigger point. The depth of this nerve has not been previously described. The purpose of this study was to report the intraoperative location, including depth, of the GON in human subjects undergoing migraine surgery. We reviewed records of patients who underwent GON decompression by a single surgeon. Intraoperative measurement of the GON location lateral to midline, inferior to the occipital protuberance, and deep to the skin was collected for 2 previously described positions: where GON (a) enters, "point #2," and (b) exits, "point #3," the semispinalis muscle as it travels from deep to superficial (Plast Reconstr Surg. 2010;126:1563-1572; Plast Reconstr Surg. 2004;113:693-697). Thirty-four subjects (60 nerves) were included. The mean depths of the GON were 20 mm (SD, 4) at point no. 3 and 30 mm (SD, 6) at point no. 2. In 26 subjects who underwent bilateral surgery, there was a difference between right and left nerve position lateral to midline at point no. 3 (P = 0.008). Female sex (P = 0.014) and body mass index of 29 kg/m or less (P < 0.001) were ass...Continue Reading

References

Oct 1, 1995·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·S F Rifat, J A Lombardo
Jun 5, 2002·Plastic and Reconstructive Surgery·Bahman GuyuronJanine Davis
Feb 6, 2004·Plastic and Reconstructive Surgery·Scott W MosserRod J Rohrich
Apr 30, 2005·Plastic and Reconstructive Surgery·Krishna S DashBahman Guyuron
Jul 3, 2008·Plastic and Reconstructive Surgery·Joseph T PoggiStephen D Helmer
Jul 23, 2008·Cephalalgia : an International Journal of Headache·W F StewartUNKNOWN AMPP Advisory Group
Mar 26, 2009·Plastic and Reconstructive Surgery·Ivica DucicAli Al-Attar
Aug 1, 2009·Plastic and Reconstructive Surgery·Bahman GuyuronSaeid Amini
Dec 17, 2009·Plastic and Reconstructive Surgery·Marco KlingerDaniel Levi
Jul 20, 2010·Plastic and Reconstructive Surgery·Jeffrey E JanisBahman Guyuron
Oct 23, 2010·Plastic and Reconstructive Surgery·Bahman GuyuronSaeid B Amini
Dec 3, 2010·Plastic and Reconstructive Surgery·Jeffrey E JanisBahman Guyuron
Jun 28, 2011·Plastic and Reconstructive Surgery·Yeon Soo Kim
Sep 23, 2014·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Alper CesmebasiMarios Loukas
Sep 26, 2014·Plastic and Reconstructive Surgery·Jeffrey E JanisBahman Guyuron
Feb 9, 2016·Annals of Plastic Surgery·Shang-Hsi LinCha-Chun Chen
May 2, 2017·Plastic and Reconstructive Surgery. Global Open·Jeffrey E JanisMarilly Palettas

❮ Previous
Next ❯

Citations

Sep 25, 2020·Plastic and Reconstructive Surgery·Lisa GfrererWilliam Gerald Austen
May 22, 2021·Plastic and Reconstructive Surgery·Lisa GfrererWilliam Gerald Austen
Dec 1, 2021·Plastic and Reconstructive Surgery·Lisa GfrererWilliam Gerald Austen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annali italiani di chirurgia
Giorgia CaruanaEdoardo Raposio
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Alexandra JunewiczBahman Guyuron
Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
R S TubbsW Jerry Oakes
© 2022 Meta ULC. All rights reserved