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DOI 10.1016/j.jcms.2008.05.002

Медицинская библиотека · Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2008

Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia.

Chen Min Jie, Zhang Wei Jie, Yang Chi, Wu Yi Qun, Zhang Zhi Yuan, Wang Yong

СтатьяПоддержка исследования: вне правительства СШАПеревод пока не подготовлен

Аннотация

PURPOSE: To evaluate the advantages of endoscopic assistance in microvascular decompression (MVD) for the treatment of trigeminal neuralgia (TGN).

METHODS

One hundred and sixty-seven patients suffering from TGN were treated by MVD from October 2003 to December 2006. The operating microscope was used in conjunction with a 30 degrees effect endoscope to diagnose neurovascular compression (NVC).

RESULTS

The type and grade of NVC were determined in all cases. 85.26% of neurovascular conflicts were diagnosed with the microscope alone. An additional 14.76% could be diagnosed with the assistance of the endoscope. 96.79% of patients experienced immediate relief of pain.

CONCLUSIONS

MVD is a highly effective treatment for TGN. Endoscopes are very useful during the procedures. They increase the clarity of the surgical field and they enable panoramic visualization in areas that are blind to the direct field of view of the operating microscope. A significant percentage of neurovascular conflicts would be missed at surgery without endoscopic assistance.

Для цитирования: Chen Min Jie, Zhang Wei Jie, Yang Chi, Wu Yi Qun, Zhang Zhi Yuan, Wang Yong. Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia.. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 2008. DOI: 10.1016/j.jcms.2008.05.002.

Предметные рубрики MeSH

AdultAgedAged, 80 and overDecompression, SurgicalFemaleHumansMaleMicrosurgeryMiddle AgedMinimally Invasive Surgical ProceduresNeuroendoscopySeverity of Illness IndexTreatment OutcomeTrigeminal NeuralgiaVascular Surgical Procedures
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