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Related Experiment Video

Updated: Dec 12, 2025

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
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Site V Surgery for Temporal Migraine Headaches.

Ilaria Baldelli1, Maria Lucia Mangialardi2, Edoardo Raposio1

  • 1Clinica di Chirurgia Plastica e Ricostruttiva, Ospedale Policlinico San Martino e Sezione di Chirurgia Plastica, Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate-DISC, Università degli Studi di Genova, Genova, Italy.

Plastic and Reconstructive Surgery. Global Open
|August 9, 2020
PubMed
Summary

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Surgical decompression at site V, targeting the auriculotemporal nerve and superficial temporal artery, shows high success rates (79-97%) for temporal migraine relief. Further research is needed to fully understand this effective treatment.

Area of Science:

  • Neurology
  • Surgical Interventions
  • Pain Management

Background:

  • The auriculotemporal nerve is implicated in temporal migraine pain.
  • Its anatomical relationship with the superficial temporal artery is a focus of research.
  • Investigating surgical decompression at site V for temporal pain relief is warranted.

Purpose of the Study:

  • To review the effectiveness of site V surgical decompression for temporal migraine pain.
  • To evaluate surgical treatments involving the auriculotemporal nerve and/or superficial temporal artery.

Main Methods:

  • Systematic literature search (2000-2020) adhering to PRISMA guidelines.
  • Inclusion of studies with International Headache Society-diagnosed migraine and site V surgical intervention.

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  • Outcome data analysis for at least 3 months post-surgery.
  • Main Results:

    • Two studies with 77 patients were included.
    • Site V surgery involves direct approach, nerve/artery manipulation under local anesthesia.
    • Success rates for site V surgery ranged from 79% to 97%.

    Conclusions:

    • Site V decompression demonstrates high success rates for temporal migraine relief.
    • The procedure is not well-described, necessitating further investigation.
    • Randomized trials are needed to report patient selection, adverse events, and long-term outcomes.