Open AccessMicrosurgical decompression of the supraorbital nerve in the treatment of chronic neuropathic pain in the frontal-temporal area
Author(s) -
A. V. Baytinger,
Н. В. Исаева
Publication year - 2021
Publication title -
voprosy rekonstruktivnoj i plastičeskoj hirurgii
Language(s) - English
Resource type - Journals
ISSN - 1814-1471
DOI - 10.52581/1814-1471/77/06
Subject(s) - medicine , supraorbital nerve , microvascular decompression , decompression , neuralgia , neuropathic pain , anesthesia , surgery , trigeminal neuralgia , reflex , corneal reflex
Chronic headache is common. One of the causes of frontal-temporal pain may be compression of sensory nerves from the trigeminal nerve system, for example, the supraorbital nerve. Our study involved 12 women with symptoms of supraorbital nerve neuralgia resistant to drug correction. He underwent microsurgical decompression of the supraorbital nerve. The results of the operation were assessed by the change in the level of neuropathic pain using the PainDetect questionnaire and the degree of psychosocial maladjustment of the patient according to the MIDAS questionnaire, before and after the operation. The data obtained indicate a significant decrease in the level of neuropathic pain in patients 1 month after surgery and a significant minimization of the effect of headache on the quality of life in patients 3 months after surgery. Two out of 12 women did not notice any improvement, which required repeated delayed revision and extended proximal decompression of the supraorbital nerve with dissection of m. corrugator supercilii fibers. After the myotomy, pain regression was achieved and the patients noted that they were satisfied with the result.