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.
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