Keyhole microsurgery for trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia

被引:0
作者
Zhaoxin Ma
Ming Li
Yi Cao
Xuhui Chen
机构
[1] East Hospital Affiliated to Tongji University,Department of Otolaryngology
[2] Yueyang Hospital Traditional Chinese and Western Medicine,Head and Neck Surgery
[3] Shanghai University of Traditional Chinese Medicine,Department of Otolaryngology
来源
European Archives of Oto-Rhino-Laryngology | 2010年 / 267卷
关键词
Retrosigmoid approach; Craniotomy; Microsurgery; Microvascular decompression; Neurotomy;
D O I
暂无
中图分类号
学科分类号
摘要
The aim of the study was to describe and evaluate the efficacy of the keyhole microsurgery to manage patients with trigeminal neuralgia (TN), hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN). Two hundred and seven patients underwent microvascular decompression (MVD) and neurotomy via retrosigmoid keyhole approach in our department clinic: MVD for trigeminal neuralgia 169 cases, hemifacial spasm 31 cases, glossopharyngeal neuralgia 4 cases and neurotomy for glossopharyngeal neuralgia 3 cases. There was no serious complication such as deaths or infarction in the cerebellum or the brainstem. Complete and partial symptoms relief was obtained in 160 (94.7%) cases and failure 9 (5.3%) cases with MVD for trigeminal neuralgia, postoperatively. Meanwhile, complications occurred in one case with cerebellar hematoma only. The postoperative results of MVD for hemifacial spasm with symptoms relief was noted in 29 (93.5%) cases and failure 2 (6.5%) cases. Postoperative complications occurred in one case with moderate hearing loss, another three cases complained of transient facial paralysis. Symptoms relief achieved in all 7 (100%) cases undergone MVD or neurotomy for glosspharyngeal neuralgia. Postoperative complications occurred in one case with moderate vocal paralysis. We think that microsurgery via retrosigmoid keyhole approach is safe and effective for CPA hyperactive cranial nerve dysfunction syndromes.
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页码:449 / 454
页数:5
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