Evidence map›Paper›PMID 35715794›Full record

ArticleBMC surgery2022

Single midline incision approach for decompression of greater, lesser and third occipital nerves in migraine surgery.

Danielle R Olla, Kortni M Kemper, Amanda L Brown, Brian A Mailey

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Danielle R OllaInstitute for Plastic and Reconstructive Surgery, Department of Surgery, Southern Illinois University, 747 N. Rutledge St, Springfield, IL, 62702, USA.
Kortni M KemperSouthern Illinois University School of Medicine, Springfield, IL, USA.
Amanda L BrownSouthern Illinois University School of Medicine, Springfield, IL, USA.
Brian A MaileyInstitute for Plastic and Reconstructive Surgery, Department of Surgery, Southern Illinois University, 747 N. Rutledge St, Springfield, IL, 62702, USA. brian.a.mailey@gmail.com.ORCID http://orcid.org/0000-0002-2846-7556
Southern Illinois University School of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe traditional approach for occipital migraine surgery encompasses three separate surgical incisions in the posterior neck to decompress the greater occipital nerves (GON), lesser occipital nerves (LON), and third occipital nerves (TON). Other incisions have been investigated, including singular transverse incisions. We sought to evaluate a single, vertical midline incision approach for decompression of all six occipital nerves.

methodsUsing 10 cadaveric hemi-sides (5 fresh cadaver head and necks). Anatomic landmarks and the location of the bilateral GON, LON, and TON were marked according to previous anatomic studies. A single, midline 9-cm incision was made, and lateral skin flaps were raised to decompress or avulse all six nerves.

resultsThrough the midline incision, the GON and TON were identified at 3.5 and 6.2 cm, respectively, inferior to a line bisecting the external auditory canal (EAC) and 1.5 cm lateral to the midline. The LON was identified as 6-cm inferior and 6.5-cm medial to a line bisecting the EAC in the plane just above the investing layer of the deep cervical fascia until the posterior border of the sternocleidomastoid was encountered. The LON had the greatest amount of variation but was identified lateral to the posterior border of the SCM.

conclusionsA single midline incision approach allows for successful identification and decompression of all six occipital nerves in migraine surgery.

Indexed as

Migraine DisordersSurgical WoundCadaverCervical PlexusDecompressionHumansSpinal NervesGreater occipital nerveLesser occipital nerveMigraine surgeryOccipital migrainesSingle incisionThird occipital nerveVertical incision

Identifiers

PMID35715794
PMCPMC9204865
OpenAlexW4283067379

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.