title: New surgical approach for migraine.
abstract: OBJECTIVE
  To introduce a new procedure for the treatment of intractable cases of migraine.
  
  
  METHODS
  To eliminate the excessive vascular and nervous effect by ligation of superficial temporal artery and middle meningeal artery and severance of greater superficial petrosal nerve.
  
  
  RESULTS
  A total of 10 patients with cases of severe migraine underwent the surgery. A follow-up of 2 to 18 years showed no recurrences. Among the patients, three were living and well for more than 10 years.
  
  
  CONCLUSIONS
  With an extradural approach, the procedure is relatively safe and simple. It stands as a good alternative for the treatment of intractable cases of migraine.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial Hospital, Jinan, Shandong, PR China.
authors.forename: Zhaomin
authors.initials: Z
authors.lastname: Fan
authors.forename: Zhong
authors.initials: Z
authors.lastname: Fan
authors.forename: Haibo
authors.initials: H
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D003399:Craniotomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D008297:Male; D008576:Meningeal Arteries / Q000601:surgery*; D008875:Middle Aged; D008881:Migraine Disorders / Q000601:surgery*; D010579:Petrous Bone / Q000294:innervation / Q000601:surgery; D013699:Temporal Arteries / Q000601:surgery*; D013701:Temporal Bone / Q000294:innervation* / Q000601:surgery*; D016896:Treatment Outcome