Display options
Cite
Hagan RR, Fallucco MA, Janis JE. Supraorbital Rim Syndrome: Definition, Surgical Treatment, and Outcomes for Frontal Headache. Plast Reconstr Surg Glob Open. 2016;4(7):e795doi: 10.1097/GOX.0000000000000802.
Hagan, R. R., Fallucco, M. A., & Janis, J. E. (2016). Supraorbital Rim Syndrome: Definition, Surgical Treatment, and Outcomes for Frontal Headache. Plastic and reconstructive surgery. Global open, 4(7), e795. https://doi.org/10.1097/GOX.0000000000000802
Hagan, Robert R, et al. "Supraorbital Rim Syndrome: Definition, Surgical Treatment, and Outcomes for Frontal Headache." Plastic and reconstructive surgery. Global open vol. 4,7 (2016): e795. doi: https://doi.org/10.1097/GOX.0000000000000802
Hagan RR, Fallucco MA, Janis JE. Supraorbital Rim Syndrome: Definition, Surgical Treatment, and Outcomes for Frontal Headache. Plast Reconstr Surg Glob Open. 2016 Jul 12;4(7):e795. doi: 10.1097/GOX.0000000000000802. eCollection 2016 Jul. PMID: 27536474; PMCID: PMC4977123.
Copy Download .nbib Format: NLM
Share it on

Plast Reconstr Surg Glob Open. 2016 Jul 12;4(7):e795. doi: 10.1097/GOX.0000000000000802. eCollection 2016 Jul.

Supraorbital Rim Syndrome: Definition, Surgical Treatment, and Outcomes for Frontal Headache.

Plastic and reconstructive surgery. Global open

Robert R Hagan, Michael A Fallucco, Jeffrey E Janis

Affiliations

  1. Neuropax Clinic, St. Louis, Mo.; Florida Plastic Surgery Group, Jacksonville, Fla.; and Department of Plastic Surgery, the Ohio State University, Columbus, Ohio.

PMID: 27536474 PMCID: PMC4977123 DOI: 10.1097/GOX.0000000000000802

Abstract

BACKGROUND: Supraorbital rim syndrome (SORS) is a novel term attributed to a composite of anatomically defined peripheral nerve entrapment sites of the supraorbital rim region. The SORS term establishes a more consistent nomenclature to describe the constellation of frontal peripheral nerve entrapment sites causing frontal headache pain. In this article, we describe the anatomical features of SORS and evidence to support its successful treatment using the transpalpebral approach that allows direct vision of these sites and the intraconal space.

METHODS: A retrospective review of 276 patients who underwent nerve decompression or neurectomy procedures for frontal or occipital headache was performed. Of these, treatment of 96 patients involved frontal surgery, and 45 of these patients were pure SORS patients who underwent this specific frontal trigger site deactivation surgery only. All procedures involved direct surgical approach through the upper eyelid to address the nerves of the supraorbital rim at the bony rim and myofascial sites.

RESULTS: Preoperative and postoperative data from the Migraine Disability Assessment Questionnaire were analyzed with paired t test. After surgical intervention, Migraine Disability Assessment Questionnaire scores decreased significantly at 12 months postoperatively (P < 0.0001).

CONCLUSIONS: SORS describes the totality of compression sites both at the bony orbital rim and the corrugator myofascial unit for the supraorbital rim nerves. Proper diagnosis, full anatomical site knowledge, and complete decompression allow for consistent treatment. Furthermore, the direct, transpalpebral surgical approach provides significant benefit to allow complete decompression.

References

  1. Plast Reconstr Surg. 2014 Oct;134(4):771-8 - PubMed
  2. Neurology. 2001;56(6 Suppl 1):S20-8 - PubMed
  3. Middle East J Anaesthesiol. 2002 Jun;16(5):499-504 - PubMed
  4. Plast Reconstr Surg. 2012 Apr;129(4):656e-62e - PubMed
  5. Plast Reconstr Surg. 2016 May;137(5):1597-600 - PubMed
  6. Plast Reconstr Surg. 2000 Aug;106(2):429-34; discussion 435-7 - PubMed
  7. Plast Reconstr Surg. 2012 May;129(5):1113-9 - PubMed
  8. Hand Clin. 1992 May;8(2):369-90 - PubMed
  9. Lancet Neurol. 2009 Jul;8(7):679-90 - PubMed
  10. Neurology. 2001;56(6 Suppl 1):S29-34 - PubMed
  11. Plast Reconstr Surg. 2008 Jan;121(1):233-40 - PubMed
  12. Headache. 2010 May;50(5):895-908 - PubMed
  13. Pain. 1992 Oct;51(1):43-8 - PubMed
  14. Plast Reconstr Surg. 2012 Dec;130(6):1227-33 - PubMed
  15. Headache. 1999 Mar;39(3):204-12 - PubMed
  16. Lancet. 1973 Aug 18;2(7825):359-62 - PubMed
  17. Cephalalgia. 1998 Aug;18 Suppl 22:40-3; discussion 43-6 - PubMed
  18. Plast Reconstr Surg. 2007 Nov;120(6):1647-53 - PubMed
  19. Neurology. 2001;56(6 Suppl 1):S35-42 - PubMed
  20. Neurology. 2012 Apr 24;78(17):1337-45 - PubMed
  21. Plast Reconstr Surg. 2013 Apr;131(4):743-50 - PubMed

Publication Types