scholarly journals The Use of Gore-tex Vascular Grafts in Microvascular Decompression for Patients with Hemifacial Spasm —Technical Note—

1993 ◽  
Vol 33 (2) ◽  
pp. 111-113 ◽  
Author(s):  
Totaro TAKEUCHI ◽  
Eishi KASAHARA
Keyword(s):  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Vascular Grafts ◽  
Technical Note

Neuroendoscopy in microvascular decompression for trigeminal neuralgia and hemifacial spasm: Technical note

2000 ◽  
Vol 22 (5) ◽  
pp. 522-526 ◽  
Author(s):  
K. Abdeen ◽  
Y. Kato ◽  
N. Kiya ◽  
K. Yoshida ◽  
T. Kanno
Keyword(s):  
Trigeminal Neuralgia ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Technical Note

A New Application of Gelatin Sponge in the Treatment of Hemifacial Spasm by Microvascular Decompression: A Technical Note

2021 ◽  
Author(s):  
Bowen Chang ◽  
Yinda Tang ◽  
Xiangyu Wei ◽  
Shiting Li
Keyword(s):  
Hearing Loss ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Facial Palsy ◽  
Poor Response ◽  
Technical Note ◽  
Gelatin Sponge ◽  
Group Differences ◽  
Success Rates

Abstract Objectives Microvascular decompression (MVD) for facial nerve remains the highly efficient hemifacial spasm (HFS) treatment. Nonetheless, a variety of cases have poor response to MVD. Using Teflon plus gelatin sponge in MVD seems to be a good solution. No existing study has examined the efficacy of using Teflon combined with gelatin sponge during MVD for HFS. Therefore, this study aimed to compare the efficacy of Teflon combined with gelatin sponge in HFS patients relative to that of Teflon alone. Patients and Methods We retrospectively compared the follow-up results of patients treated with Teflon and gelatin sponge with those treated with Teflon alone previously. Six hundred and eighty-eight primary HFS patients undergoing surgery from January 2010 to January 2018 were retrospectively analyzed. Three hundred and forty-seven cases received simple Teflon, while 342 cases underwent Teflon combined with gelatin sponge. Results In the Teflon plus gelatin sponge group, the incidences of facial palsy and hearing loss at 1 day, 1 year, and 2 years following surgery was significantly lower than those in the simple Teflon group. Differences in the success rates between Teflon plus gelatin sponge and the simple Teflon group were not statistically significant at 1 day, 1 year, and 2 years after surgery. The recurrence rate in the Teflon plus gelatin sponge group was significantly lower at 2 years. Conclusion For HFS patients undergoing MVD, using Teflon plus gelatin sponge can remarkably reduce the incidence of recurrence, facial palsy, and hearing loss compared with those using Teflon alone.

Endoscopic Microvascular Decompression with Transposition for Trigeminal Neuralgia and Hemifacial Spasm: Technical Note

2016 ◽  
Vol 78 (03) ◽  
pp. 291-295
Author(s):  
Masaaki Imai ◽  
Akihiro Hirayama ◽  
Kazuko Hotta ◽  
Naokazu Hayashi ◽  
Shinri Oda ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Technical Note

Teflon Might Be a Factor Accounting for a Failed Microvascular Decompression in Hemifacial Spasm: A Technical Note

2016 ◽  
Vol 94 (3) ◽  
pp. 154-158 ◽  
Author(s):  
Ning-Ning Dou ◽  
Jun Zhong ◽  
Ming-Xing Liu ◽  
Lei Xia ◽  
Hui Sun ◽  
...  
Keyword(s):  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Technical Note

Microvascular Decompression for Treatment of Trigeminal Neuralgia, Hemifacial Spasm, and Glossopharyngeal Neuralgia: Three Surgical Approach Variations: Technical Note

Neurosurgery ◽  
2003 ◽  
Vol 53 (6) ◽  
pp. 1436-1443 ◽  
Author(s):  
Tsutomu Hitotsumatsu ◽  
Toshio Matsushima ◽  
Tooru Inoue
Keyword(s):  
Trigeminal Neuralgia ◽  
Surgical Approach ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Cranial Nerve ◽  
Longitudinal Axis ◽  
Technical Note ◽  
Glossopharyngeal Neuralgia ◽  
Minimal Risk ◽  
Superior Portion

Abstract OBJECTIVE We have used three different approaches, namely, the infratentorial lateral supracerebellar approach, the lateral suboccipital infrafloccular approach, and the transcondylar fossa approach, for microvascular decompression for treatment of trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia, respectively. Each approach is a variation of the lateral suboccipital approach to the cerebellopontine angle (CPA); however, each has a different site of bony opening, a different surgical direction, and a different route along the cerebellar surface. METHODS The infratentorial lateral supracerebellar approach is used to access the trigeminal nerve in the superior portion of the CPA through the lateral aspect of the cerebellar tentorial surface. The lateral suboccipital infrafloccular approach is directed through the inferior part of the cerebellar petrosal surface to reach the root exit zone of the facial nerve below the flocculus. The transcondylar fossa approach is used to access the glossopharyngeal nerve in the inferior portion of the CPA through the cerebellar suboccipital surface, after extradural removal of the jugular tubercle as necessary. RESULTS In all three approaches, the cerebellar petrosal surface is never retracted transversely, that is, the cerebellar retraction is never directed parallel to the longitudinal axis of the VIIIth cranial nerve, dramatically reducing the risk of postoperative hearing loss. CONCLUSION The greatest advantage of the differential selection of the surgical approach is increased ability to reach the destination in the CPA accurately, with minimal risk of postoperative cranial nerve palsy.

Feasibility of underwater microvascular decompression for hemifacial spasm: a technical note

2021 ◽  
Author(s):  
Kenichiro Iwami ◽  
Tadashi Watanabe ◽  
Mao Yokota ◽  
Masato Hara ◽  
Koji Osuka ◽  
...  
Keyword(s):  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Technical Note

Evaluation of Clinical Outcome of Microvascular Decompression for Hemifacial Spasm using Advanced Processing of High Resolution MRI Data

2013 ◽  
Vol 44 (01) ◽  
Author(s):  
B Bischoff ◽  
O Ganslandt ◽  
R Naraghi ◽  
A Dörfler ◽  
M Buchfelder ◽  
...  
Keyword(s):  
High Resolution ◽  
Clinical Outcome ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
High Resolution Mri

Residual hemifacial spasm after microvascular decompression: prognostic factors with emphasis on preoperative psychological state

2015 ◽  
Vol 38 (3) ◽  
pp. 567-572 ◽  
Author(s):  
Yichao Jin ◽  
Changyi Zhao ◽  
Shanshan Su ◽  
Xiaohua Zhang ◽  
Yongming Qiu ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Psychological State
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