METHOD FOR ONE-STAGE SURGICAL MANAGEMENT OF MIGRAINE Russian patent published in 2025 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to neurology and plastic surgery. Vertical skin incision 4 cm long is made in an occipital region. Subcutaneous fat of an occipital region and an occipital fascia are dissected. Right greater occipital nerve is visualized. Right greater occipital nerve is mobilized from the arteries and veins, and the veins are transected. Trapezoidal flap is cut out of an occipital aponeurosis and fixed subneurally. Active drainage is installed through a counteropening in an occipital region. Occipital skin is closed with an intradermal suture. Single-stage similar manipulation is performed with the left greater occipital nerve. That is followed by making symmetrical vertically oriented incisions with length of 1.5 cm in the scalp of the frontal and temporal regions. Subperiosteal dissection is performed in both frontal areas. Periosteum is transected at the level of the upper edge of both eye sockets. Upper and lower temporal partitions are crossed with a raspatory on both sides. In the temporal and parietal regions, a dissection is performed on both sides in a layer between a temporal-occipital fascia and a superficial leaf of a deep temporal fascia. Right and left supraorbital and supra-block neurovascular bundles are separated. Thereafter, right and left zygomatic neurovascular bundles are visualized and mobilized. Right and left temporal branches of facial nerves are visualized. Right and left supraorbital and supra-block nerves are mobilized from arteries and veins. Right and left superficial temporal veins are transected and coagulated. Right and left corrugator supercilii muscles are mobilized from the frontal bone. That is followed by a bilateral supraciliary approach. Foramenotomy of both supraorbital openings is performed. Supraorbital notches are formed. Both supraorbital neurovascular bundles are mobilized. Connective tissue bridges between bone edges of supraorbital notches are excised. Eyelid skin is closed with intradermal sutures. Interrupted sutures are used to close temporo-parietal fascia leaves from both sides. Skin of scalp wounds is closed with intradermal sutures.

EFFECT: method enables solving the problem of the clinical symptoms of migraine and the risk of its recurrence, avoiding the postoperative facial asymmetry.

1 cl, 1 ex