Endoscope-assisted microvascular decompression in hemifacial spasm with a teflon bridge.
Endoscope-assisted microsurgery
Hemifacial spasm
Microvascular decompression
Operative video
Retrosigmoid approach
Teflon
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
30 May 2024
30 May 2024
Historique:
received:
02
12
2023
accepted:
17
05
2024
medline:
30
5
2024
pubmed:
30
5
2024
entrez:
30
5
2024
Statut:
epublish
Résumé
Microvascular conflicts in hemifacial spasm typically occur at the facial nerve's root exit zone. While a pure microsurgical approach offers only limited orientation, added endoscopy enhances visibility of the relevant structures without the necessity of cerebellar retraction. After a retrosigmoid craniotomy, a microsurgical decompression of the facial nerve is performed with a Teflon bridge. Endoscopic inspection prior and after decompression facilitates optimal Teflon bridge positioning. Endoscope-assisted microsurgery allows a clear visualization and safe manipulation on the facial nerve at its root exit zone.
Sections du résumé
BACKGROUND
BACKGROUND
Microvascular conflicts in hemifacial spasm typically occur at the facial nerve's root exit zone. While a pure microsurgical approach offers only limited orientation, added endoscopy enhances visibility of the relevant structures without the necessity of cerebellar retraction.
METHODS
METHODS
After a retrosigmoid craniotomy, a microsurgical decompression of the facial nerve is performed with a Teflon bridge. Endoscopic inspection prior and after decompression facilitates optimal Teflon bridge positioning.
CONCLUSIONS
CONCLUSIONS
Endoscope-assisted microsurgery allows a clear visualization and safe manipulation on the facial nerve at its root exit zone.
Identifiants
pubmed: 38814504
doi: 10.1007/s00701-024-06142-7
pii: 10.1007/s00701-024-06142-7
doi:
Substances chimiques
Polytetrafluoroethylene
9002-84-0
Types de publication
Journal Article
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
239Informations de copyright
© 2024. The Author(s).
Références
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