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Migraine Surgery in Turkey

What is Migraine Surgery?

Migraine surgery in Turkey is a procedure typically performed under anesthesia, allowing most patients to be discharged the same day or within 24 hours. The specific method and surgical site depend on the type of migraine the patient has. For those who prefer a non-surgical approach, migraine Botox treatment is available, yielding highly successful results based on the severity of the condition. Some patients continue with Botox treatments every six months, while for others, the Botox application helps to accurately identify the source of migraine pain, allowing for more targeted surgical intervention.

Migraine Botox, approved by the FDA in 2010, must be administered by specially trained physicians. The key distinction between migraine surgery and Botox treatment is the permanence of the surgical solution, whereas Botox requires periodic repetition depending on the individual’s response.

Migraine surgery was accidentally discovered in 2000 by Prof. Dr. Bahman Guyuron in Cleveland, USA. During a forehead lift operation, he noticed that patients with diagnosed migraines showed improvement, prompting further research and the eventual development of migraine surgery. This procedure has been performed by many plastic surgeons in the US for over 16 years and is even covered by insurance. Contrary to some beliefs, migraine surgery is neither new nor experimental in Turkey.

Dr. Ufuk Askeroğlu had the opportunity to work with Prof. Dr. Bahman Guyuron between 2011 and 2012 at Case Western Reserve University, where he studied around 2,000 migraine cases. Dr. Askeroğlu has been performing migraine surgeries in Turkey for about five years, successfully treating hundreds of patients. Since this surgery is not part of the plastic surgery curriculum in Turkey, the experience and training of the surgeon are critical to the success of the procedure. Dr. Askeroğlu’s extensive experience in the US, where he examined various cases and learned about potential complications, has significantly contributed to his expertise.

Globally, the success rate of migraine surgery is reported to be around 90% in scientific studies. Considering that chronic migraine patients often do not fully respond to medication and may spend at least 3-4 days per month hospitalized, migraine surgery—bearing minimal risks aside from those associated with general anesthesia—can be life-changing.

Types of Migraine Surgery in Turkey

1. Temple Region (Zygomatictemporal Nerve): The trigger point is located where the muscles end. Patients can typically return home immediately after surgery, with a satisfaction and full recovery rate of 95%.

2. Nuchal Region (Great Occipital Nerve): Located in the midline of the scalp just above the neck, this area allows for immediate post-surgery return, with a satisfaction and full recovery rate of 95%.

3. Behind-the-Ear Area (Lesser Occipital Nerve): Varying by patient, this trigger point is found just behind the ear in the scalp. Patients can return home immediately, with a satisfaction and full recovery rate of 99%.

4. Intra-Ear Area (Auriculotemporal Nerve): This trigger point, also varying by patient, is located directly above the ear. Patients can return home immediately, with a satisfaction and full recovery rate of 95%.

5. Forehead Area (Supraorbital Nerve): Characterized by severe pain in the middle of the muscle and forehead, this area may require rest for a week post-surgery due to possible eye edema. The satisfaction and full recovery rate is 85%.

6. Nose Area/Behind the Eyes Migraine: Migraines in this area, often accompanied by a runny nose and severe pain behind the eyes, may require paranasal sinus tomography and potential nose surgery. Post-surgery, a week of rest is advised due to possible eye edema. The satisfaction and full recovery rate is 85%.

Patients from all over Turkey, including Istanbul, Ankara, Izmir, and Bursa, as well as referrals from European neurologists, visit our clinic for migraine surgery. Since there are no plastic surgeons in Europe who specialize in this procedure, Turkey has become a key destination for migraine surgery. The convenience of needing only a two-day stay in Istanbul and the ability to travel by plane shortly after surgery makes it an attractive option.

One of the most frequently asked questions is about the cost of migraine surgery. The price varies depending on the patient’s specific migraine trigger points, with surgery lasting from 2 to 4 hours. Therefore, it’s best to consider migraine surgery as a health plan and determine the exact cost after a physical examination.

FAQ Migraine Surgery

1. What is endoscopic migraine surgery, and how does it work?

Endoscopic migraine surgery uses small incisions that are minimally invasive in nature for access, relieving pressure over some nerves known to be a trigger for migraines. Decompression of these trigger points or removal relieves or resolves migraine symptoms. It is mostly done under anesthesia, and most of the patients get discharged on the same or next day.

2. What kinds of migraines are amenable to treatment by endoscopic migraine surgery?

In such a case, endoscopic migraine surgery treats different types of migraines, which are based on where the trigger points are located. Common locations for treatment are at the temple area, nuchal region, the area behind the ear and within the ear, the area of the forehead, and the nose area/behind the eyes. All these trigger points are located at the site of certain nerves that are decompressed carefully during surgery.

3. What is the effect of endoscopic migraine surgery in alleviating migraine symptoms?

According to scientific research, the endoscopic migraine surgery has a global success rate of 90%. Patients express remarkable relief from chronic migraine, especially in those cases where medication alone proves to be insufficient. The rate of satisfaction and full recovery rates differ depending on the treated area, with most of the patients making long-term recoveries.

4. What is the recovery time after endoscopic migraine surgery?

The recovery time after endoscopic migraine surgery varies with the treated area. Almost all patients are discharged home immediately and, for most of them, recovery time after surgery is minimal. Surgeries done in temple regions, nuchal, or behind-the-ears areas allow most patients to resume normal activities almost immediately. Surgeries conducted in areas such as the forehead or nose area may require a week to a week and a half due to potential edema around the eyes.

5. Is this endoscopic migraine surgery permanent, or am I going to require further treatment?

This endoscopic migraine surgery works for many patients because it goes to the root of the problem: the nerve trigger points causing the migraines. This surgery, unlike repeated Botox treatment, is intended to last. Success depends, however, on proper identification of trigger points and on the skill level of the surgeon. Some may need further evaluation or additional treatments.

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