Application of Virtual Endoscopy in Microvascular Decompression of Trigeminal Neuralgia

被引：5

作者：

Wei, Wenbin ^{[1
]}

Liu, Zhiyang ^{[1
]}

Zhang, Weijie ^{[1
]}

Wang, Yiwen ^{[1
]}

Chen, Minjie ^{[1
]}

机构：

[1] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Oral Surg Dept, Sch Med, Shanghai, Peoples R China

来源：

JOURNAL OF CRANIOFACIAL SURGERY | 2021年 / 32卷 / 05期

关键词：

Microvascular decompression; three-dimensional reconstruction; trigeminal neuralgia; virtual endoscopy; COMPRESSION; NERVE; SIMULATIONS; DIAGNOSIS; PONS;

D O I：

10.1097/SCS.0000000000007347

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: The main purpose of this study is to evaluate the accuracy of virtual endoscopy (VE) in microvascular decompression (MVD) for the treatment of trigeminal neuralgia (TN). Methods: A total of 30 TN patients aged 42 to 70 years were recruited from January 2015 to January 2019, and all patients were confirmed to have severe neurovascular compression (NVC) (>= degree 2) by magnetic resonance tomographic angiography (MRTA). Preoperative MRTA and enhanced CT were performed, and the data were imported into Stlview software for VE simulation of MVD. The reliability of VE, real endoscopy, and MRTA in evaluating the degree and position of MVD in TN patients was compared. Results: Virtual endoscopy is more reliable than MRTA in evaluating the degree of NVC, but both of them are reliable in determining the position of NVC in TN patients. Conclusions: Virtual endoscopy can be used in MVD for the treatment of TN, including preoperative diagnosis and risk evaluation, intraoperative guidance, and postoperative evaluation.

引用

页码：1696 / 1699

页数：4

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