| Keyhole microsurgery for trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia. | |
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MedLine Citation:
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PMID: 19536556 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Zhaoxin Ma; Ming Li; Yi Cao; Xuhui Chen |
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Publication Detail:
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Type: Journal Article Date: 2009-06-18 |
Journal Detail:
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Title: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery Volume: 267 ISSN: 1434-4726 ISO Abbreviation: Eur Arch Otorhinolaryngol Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-01-26 Completed Date: 2010-04-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9002937 Medline TA: Eur Arch Otorhinolaryngol Country: Germany |
Other Details:
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Languages: eng Pagination: 449-54 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, East Hospital Affiliated to Tongji University, Shanghai, China. mzhx114@163.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Craniotomy / methods* Decompression, Surgical / methods* Female Follow-Up Studies Glossopharyngeal Nerve Diseases / surgery* Hemifacial Spasm / surgery* Humans Male Microsurgery / methods* Middle Aged Pain Measurement Postoperative Complications / etiology Surgical Procedures, Minimally Invasive / methods* Treatment Outcome Trigeminal Neuralgia / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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