Surgical Treatment of Migraine Headaches

A study published in Plastic and Reconstructive Surgery shows that trigger site surgery may aid in reducing or even eliminating migraine headaches. 100 patients in a study underwent injection of botulinum toxin A (Botox) into up to 4 potential trigger sites. If a trigger site was identified to be effective than surgery was performed in that trigger area in order to decompress nerves and remove muscles. 71 of 79 patients that were evaluated over a 5 year period were observed to have improvement. This meant they had less mean migraine intensity and or less mean migraine duration. 20 of 69 patients (29.0%) reported elimination of migraines and 41 of 69 patients (59.4%) experience a significant decrease. Surgery is not without risk and neither is injection of botulinum toxin A.  2 patients had hypersensitivity, 2 patients had hyposensitivity, and 2 patients … Read more

Adverse Sedation Events and Impact on Provider Specialty in Pediatrics

Recently an article was published in Pediatrics titled Impact of Provider Specialty on Pediatric Procedural Sedation Complication Rates with authors Kevin G. Couloures, Michael Beach, Joseph P. Cravero, Kimberly K. Monroe and James H. Hertzog.   (2011, 127, pages e1154-e1160).  The conclusion presented in the abstract of the article is “In our sedation services consortium, pediatric procedural sedation performed outside the operating room is unlikely to yield serious adverse outcomes. Within this framework, no differences were evident in either the adjusted or unadjusted rates of major complications among different pediatric specialists.” The authors mentioned in this article another study conducted in Pediatrics which found over a 27 year period there were 60 cases identified in which death or severe neurological injury occurred of children 0.08 years to 20 years old. However, this study presented different conclusions in the abstract of the … Read more

Oral Surgeon Websites: Similar Content

I wanted to alert everyone to a new article I just wrote and updated on my website http://www.teethremoval.com/oral_surgery_websites_similar_content_similar_sites.html. It talks about how oral surgeons are using PBHS Inc. to design them websites. However, PBHS Inc. uses a template for the websites so the content for all of the websites designed is very similar. This means the information on procedures and even after care procedures for a large number of oral surgeon and oral surgeon group’s websites are nearly exactly the same if not identical. This is quite alarming to me and you should be aware of this if you are considering wisdom teeth removal surgery. The likely explanation is that oral surgeons are not skilled in website design and are not taking the time to modify the content provided by PBHS Inc. Even so, PBHS Inc. has a very large … Read more