This procedure involves having a small cut made behind the ear on the same side as the pain. A small amount of bone will be removed from the skull. A microscope is then used to identify the trigeminal nerve and the blood vessels compressing the nerve. Once this is done the surgeon will place some protective cushioning (usually Teflon) and or muscle between the vessel and the nerve to ensure separation. The removed bone will be replaced with metallic plates and screws. The skin will be closed with staples.
This is the treatment of choice when the patient is elderly or medically unfit for a major cranial procedure. This procedure is done with you sedated. A thin needle is passed into the skin of the cheek on the side of your face where the pain is, after cleaning with a sterilising agent. Using x-ray or a surgical navigation computer, the needle is then passed through the check, next to the mouth, and guided through the opening in the base of the skull to where all three branches of the trigeminal nerve come together.
A Carpal Tunnel release is a procedure to free the median nerve which runs through the carpal tunnel in the wrist. It involves making a small cut down the front of the wrist and palm of the hand and dividing the band of tissue which is pressing on the median nerve. Once the nerve is completely free, the skin is closed with stitches.
The Ulnar nerve is a nerve which supplies feeling and strength to a portion of the hand and forearm. It may become compressed or trapped as it passes past the elbow. Ulnar nerve decompression at the elbow is performed to free up the nerve. It involves a small cut around the elbow, to free up the compressed nerve.
The purpose for doing a Nerve Biopsy is to diagnose nerve disease. The surgeon will make a small cut over the nerve of interest. A small segment of the nerve will be cut and sent to pathology. The surgeon will then close the skin with sutures or staples.