Is trigeminal neuralgia surgery open-heart surgery? Surgery for trigeminal neuralgia is an internationally recognized treatment for trigeminal neuralgia, and in China, it has also been unanimously recommended by experts. Many patients, after learning that this surgery can cure trigeminal neuralgia, are looking forward to the treatment effect of the surgery, but they are worried that the surgery is an open surgery and too dangerous. The surgery is a surgical procedure operated under a microscope, so it is called microvascular decompression, which requires an incision, but the procedure is not very dangerous, and even the bleeding is very small. Surgery for trigeminal neuralgia is currently the most respected treatment and the only way to completely treat trigeminal neuralgia. Therefore, it should be the preferred treatment route for patients. The principle of microvascular decompression for trigeminal neuralgia: Microvascular decompression is a safe and minimally invasive surgery, which is performed by magnifying and reoperating the intracranial nerves and blood vessels through a high-powered microscope, placing the spacer between the blood vessels and nerves without damaging the nerves and blood vessels, separating the mutually compressed nerves and blood vessels, relieving the local vascular compression while keeping the sensory conduction of the trigeminal nerve intact. In the vast majority of patients, the facial pain or spasm disappears immediately after surgery, and normal facial sensation and function are preserved without affecting the quality of life. The procedure takes approximately two hours. The procedure is performed in the right lateral position, and a line is drawn in the hairline behind the breast. 2.Cut the scalp and occipital muscle along the drawn line to expose the root of the left mastoid, and the nipple retractor to retract the soft tissue and stop the bleeding by electrocoagulation. One hole was drilled above the papillary root with an electric drill, and the occipital bone scale was milled with a milling knife, and the size of the bone flap was about 2×2 cm. Probe the trigeminal nerve root to find the responsible vessel compressing the trigeminal nerve root. The responsible vessel compressing the trigeminal nerve root can be one or more, the most common responsible vessel is the superior cerebellar artery and its branches, followed by the anterior inferior cerebellar artery. 4, Cut the dura to distract the cerebellar hemisphere, release the cerebrospinal fluid can be exposed to the trigeminal nerve, carefully separate the veins and use padding cotton to pad away the trigeminal nerve 5, suture the cerebral dura and rinse the trauma. Place the bone fragments into the bone holes and perform layer-by-layer suturing. The surgery is finished. Does trigeminal nerve surgery require craniotomy According to the above surgical procedure, it can be seen that trigeminal nerve surgery requires craniotomy. However, patients should not worry too much about the trauma caused by the surgery. It is easy to see that although microvascular decompression is a craniotomy, it is different from the traditional large-scale craniotomy, with very little trauma, very little bleeding, very low recurrence rate after the surgery, and very good surgical results. No brain tissue is injured, etc. Most patients’ pain disappears immediately after surgery, and normal facial sensation and function are preserved, without affecting the quality of life. The surgery takes about 2 hours. Can trigeminal neuralgia recur after the surgery? Anyone who is familiar with trigeminal neuralgia knows that trigeminal neuralgia is a disease with recurrent attacks. However, the recurrence rate is not high, and only a very small number of people have recurrence. The overall efficiency of microvascular decompression for trigeminal neuralgia is about 95%, and in a small number of patients (5%) the pain recurs after surgery, and reoperation is equally effective. It is the safest and most effective method for the treatment of trigeminal neuralgia, which is recognized internationally. In conclusion, the surgical treatment of trigeminal neuralgia requires craniotomy, but it is a minimally invasive procedure without major trauma, and patients can choose it with confidence. The probability of recurrence is extremely low, and the patient can receive surgery again after recurrence, which is the most effective way to treat trigeminal neuralgia. Patients are advised to choose an experienced physician for treatment. To ensure the cure rate and safety of the surgery.