Gfrerer Lisa, Guyuron Bahman
Harvard Combined Program for Plastic and Reconstructive Surgery, Harvard Medical School, Boston, MA, USA.
Department of Plastic and Reconstructive Surgery, University Hospitals Cleveland Medical Center, Case Western Reserve School of Medicine, 29017 Cedar Road, Cleveland, OH, 44124, USA.
Aesthetic Plast Surg. 2017 Oct;41(5):1096-1099. doi: 10.1007/s00266-017-0896-x. Epub 2017 May 31.
This article describes connections between migraine surgery and cosmetic surgery including technical overlap, benefits for patients, and why every plastic surgeon may consider screening cosmetic surgery patients for migraine headache (MH). Contemporary migraine surgery began by an observation made following forehead rejuvenation, and the connection has continued. The prevalence of MH among females in the USA is 26%, and females account for 91% of cosmetic surgery procedures and 81-91% of migraine surgery procedures, which suggests substantial overlap between both patient populations. At the same time, recent reports show an overall increase in cosmetic facial procedures. Surgical techniques between some of the most commonly performed facial surgeries and migraine surgery overlap, creating opportunity for consolidation. In particular, forehead lift, blepharoplasty, septo-rhinoplasty, and rhytidectomy can easily be part of the migraine surgery, depending on the migraine trigger sites. Patients could benefit from simultaneous improvement in MH symptoms and rejuvenation of the face. Simple tools such as the Migraine Headache Index could be used to screen cosmetic surgery patients for MH. Similarity between patient populations, demand for both facial and MH procedures, and technical overlap suggest great incentive for plastic surgeons to combine both. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
本文描述了偏头痛手术与整容手术之间的联系，包括技术重叠、对患者的益处，以及为何每位整形外科医生都应考虑对整容手术患者进行偏头痛筛查。当代偏头痛手术始于前额年轻化手术后的一项观察，此后这种联系一直存在。美国女性中偏头痛的患病率为26%，女性占整容手术的91%，占偏头痛手术的81% - 91%，这表明这两类患者群体有很大重叠。同时，近期报告显示面部整容手术总体呈上升趋势。一些最常见的面部手术与偏头痛手术的技术存在重叠，为整合创造了机会。特别是，根据偏头痛触发部位，额部提升术、眼睑成形术、鼻中隔 - 鼻成形术和除皱术都可轻松成为偏头痛手术的一部分。患者可因偏头痛症状的改善和面部年轻化同时受益。像偏头痛指数这样的简单工具可用于对整容手术患者进行偏头痛筛查。患者群体的相似性、对面部手术和偏头痛手术的需求以及技术重叠表明，整形外科医生有很大动力将二者结合。证据等级V 本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参考目录或在线作者指南www.springer.com/00266 。
