70-year-old Wang’s forehead and face sometimes have a sudden burst of sharp pain for nearly 10 years. However, because the frequency is not high, and after taking a painkiller basically can get better. Later, he went to a local hospital for treatment of trigeminal neuralgia, and after surgery, the pain was gone, but half of his face was numb and unconscious. I thought I didn’t care about it as long as it didn’t hurt. However, recently, the pain on the right side of his face came back, more and more frequently, and the most basic daily life, such as brushing teeth, eating and swallowing saliva, became unbearably difficult for Wang. After a detailed evaluation, Director Yang performed microvascular decompression surgery on Wang. After the operation, Wang never had any more attacks and finally revealed his long-lost smile. What is trigeminal neuralgia? How can it be treated? The trigeminal nerve is the thickest pair of cranial nerves innervating the face, one on each side and three on each side. It has fibers that manage both sensory and masticatory muscle movements. When the trigeminal nerve is irritated or compressed, it can lead to pain or abnormal muscle movements. Trigeminal neuralgia is most common in middle-aged and elderly people, and is slightly more common in women than in men. Trigeminal neuralgia, known as the “unbearable pain of life,” is mainly characterized by recurrent episodes of severe pain in the distribution of the trigeminal nerve on one side of the face, which may be like a knife cut, needle prick, tear, burn or electric shock, severe and even unbearable. Its attacks are usually not premonitory, but there will be a trigger point, and the particularly sensitive areas are usually located in the upper lip, gums, corners of the mouth, tongue, eyebrows, etc., which are usually clinically referred to as trigger points or trigger points. Touching the trigger point will stimulate severe pain, such as talking, eating, washing the face, shaving, brushing the teeth, or even a slight breeze may trigger an attack. The pain usually lasts for a few seconds or stops abruptly in 1 to 2 minutes. When there is no attack, the patient is no different from normal people. Trigeminal neuralgia is divided into primary and secondary. The cause of primary neuralgia is not clear, but it is more likely to be due to pulsatile compression of blood vessels from a variety of causes. Secondary pain is caused by the compression or irritation of the trigeminal nerve by a tumor. Since the pain is so “fatal”, is there any way to solve the pain completely? For the treatment of trigeminal neuralgia, the traditional method is to take the oral drug carbamazepine, but when taken for a long time, patients may experience side effects such as drowsiness, vertigo, and digestive discomfort. And the medication does not work for some patients. Microvascular decompression is currently the only radical treatment method and the treatment option for trigeminal neuralgia with the best treatment effect and the lowest recurrence rate. It is performed through a 4-cm skin incision behind the patient’s ear, in the hairline, under microscopic techniques, and a small bone window is opened into the skull to “loosen” the abnormal blood vessels compressing the nerve and isolate them through a spacer. The source of nerve irritation disappears, the sensation and function of the facial nerve return to normal, and the patient’s daily life such as eating and brushing teeth will no longer be affected. The main advantages of microvascular decompression treatment are as follows: 1. Fast results, high cure rate, and disappearance of pain or twitching after surgery. 2.Small invasion, less bleeding. 3.The incision is hidden and does not affect the patient’s aesthetics. 4, short hospitalization time, 7 days after surgery can be discharged.