Temporal

Temporal Trigger Migraine Surgery in Cleveland, OH

If your migraines consistently begin in the temple region, they may be caused by compression of the zygomaticotemporal branch of the trigeminal nerve as it travels through the temporalis muscle, surrounding fascia, or nearby blood vessels. Many patients with temporal trigger migraines also have a history of teeth grinding (bruxism), jaw clenching, or TMJ-related symptoms, all of which can contribute to chronic nerve irritation. Temporal trigger migraine surgery is designed to relieve this pressure by decompressing or addressing the affected nerve, helping reduce the frequency, severity, and duration of migraine attacks.

Board-certified plastic surgeon Dr. Ali Totonchi has extensive experience performing advanced migraine surgery. Using minimally invasive endoscopic techniques whenever appropriate, Dr. Totonchi develops a personalized treatment plan based on your migraine history, trigger point evaluation, and individual anatomy. His goal is to provide long-term migraine relief while minimizing recovery time and helping patients regain their quality of life.

Temporal Trigger Point Migraine Surgery in Cleveland

In this area Zygomaticotemporal branch of Trigeminal Nerve passes through Temporalis muscle and can be compressed by muscle, fascia or blood vessels traveling with nerve, this is a common trigger point for people grinding their teeth. Surgery can be done with minimally invasive techniques (endoscopically) which is our preferred technique, some direct approach through line hair line incision or upper eyelid incision have been described. Migraine surgery usually takes about 30min-1h.

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Shows Temporal trigger point and Zygomaticotemporal branch of trigeminal nerve passing through temporalis muscle

Showing endoscopic approach to the temporal trigger point; it is done by couple of small incisions in hairline and after surgery scar is barely noticeable.

The goal of surgery is to remove the Zygomaticotemporal branch of the trigeminal nerve, this nerve is very small and removing of the nerve does not cause noticeable sensory loss

Post-Operative Temporal Trigger Point Surgery Form

Find Lasting Relief from Temple Migraines

Living with chronic migraines that originate in the temple region can make even everyday activities difficult. If medications, Botox®, or other conservative treatments have failed to provide meaningful relief, temporal trigger migraine surgery may offer a long-term solution by addressing the underlying source of nerve compression rather than simply managing the symptoms.

During your consultation, Dr. Totonchi will carefully review your migraine history, identify your trigger points, and determine whether temporal trigger surgery is the right treatment for your condition. Every surgical plan is tailored to your unique anatomy and symptoms, ensuring the most effective approach to reducing migraine pain and improving your overall quality of life.

Take the first step toward lasting migraine relief. Contact Totonchi Plastic Surgery today at (216) 778-2262 for our Cleveland and Westlake locations or (440) 461-7999 for our Lyndhurst location to schedule your personalized temporal trigger migraine consultation.