Optimized microvascular decompression surgery for improving the results of hemifacial spasm: an analysis of reoperations.
Hemifacial spasm
Microvascular decompression
Reoperation
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
26 Sep 2024
26 Sep 2024
Historique:
received:
20
03
2024
accepted:
15
09
2024
revised:
04
08
2024
medline:
26
9
2024
pubmed:
26
9
2024
entrez:
26
9
2024
Statut:
epublish
Résumé
Microvascular decompression (MVD) surgery is an effective curative treatment for hemifacial spasm (HFS). This study aims to establish techniques that may lead to favorable outcomes by analyzing reoperations in patients with persistent or recurrent HFS.Patients who exhibited persistent or recurrent HFS symptoms after prior MVD surgery were identified as candidates for reoperation. Information regarding the reoperations was collected by tracing the entire surgical procedures and peri-operative management. Clinical manifestations and follow-up data were obtained from the hospital records and subsequent visits.Twenty-six patients underwent repeat MVD surgery. Among them, multi-culprit neurovascular compression (NVC) was identified as the primary cause of failure to response to the previous operation in 73.08% of cases. Pure tissue adhesion accounted for 38.46% of cases, while shredded Teflon pledget (STP) shifting was observed in 7.69% of cases. Postoperative outcomes were assessed through revisits and categorized into four groups: excellent (76.92%), good (15.38%), fair (7.69%), and poor (0%). The longest follow-up period exceeded 65 moths.The trans-lateral suboccipital infra-floccular approach provides a better visual field. Examination of entire length of the facial nerve is essential. STP with gelatin sponge implantation is a suitable material for facilitating nerve and vascular positioning and reducing adhesion.
Identifiants
pubmed: 39325203
doi: 10.1007/s10143-024-02892-1
pii: 10.1007/s10143-024-02892-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
685Subventions
Organisme : National Natural Science Foundation of China
ID : 82171360
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Abbruzzese G, Berardelli A, Defazio G (2011) Hemifacial spasm. Handb Clin Neurol 100:675–680
pubmed: 21496615
doi: 10.1016/B978-0-444-52014-2.00048-3
Miller LE, Miller VM (2012) Safety and effectiveness of microvascular decompression for treatment of hemifacial spasm: a systematic review. Br J Neurosurg 26(4):438–444
pubmed: 22168965
doi: 10.3109/02688697.2011.641613
Sekula RF Jr., Bhatia S, Frederickson AM, Jannetta PJ, Quigley MR, Small GA, Breisinger R (2009) Utility of intraoperative electromyography in microvascular decompression for hemifacial spasm: a meta-analysis. Neurosurg Focus 27(4):E10
pubmed: 19877788
doi: 10.3171/2009.8.FOCUS09142
Barker FG 2nd, Jannetta PJ, Bissonette DJ, Shields PT, Larkins MV, Jho HD (1995) Microvascular decompression for hemifacial spasm. J Neurosurg 82(2):201–210
pubmed: 7815147
doi: 10.3171/jns.1995.82.2.0201
Wang A, Jankovic J (1998) Hemifacial spasm: clinical findings and treatment. Muscle Nerve 21(12):1740–1747
pubmed: 9843077
doi: 10.1002/(SICI)1097-4598(199812)21:12<1740::AID-MUS17>3.0.CO;2-V
Colosimo C, Bologna M, Lamberti S, Avanzino L, Marinelli L, Fabbrini G, Abbruzzese G, Defazio G, Berardelli A (2006) A comparative study of primary and secondary hemifacial spasm. Arch Neurol 63(3):441–444
pubmed: 16533973
doi: 10.1001/archneur.63.3.441
Sindou MP (2005) Microvascular decompression for primary hemifacial spasm. Importance of intraoperative neurophysiological monitoring. Acta Neurochir (Wien) 147(10):1019–1026 discussion 1026
pubmed: 16094508
doi: 10.1007/s00701-005-0583-6
Lu AY, Yeung JT, Gerrard JL, Michaelides EM, Sekula RF Jr., Bulsara KR (2014) Hemifacial spasm and neurovascular compression. ScientificWorldJournal 2014:349319
Guan HX, Zhu J, Zhong J (2011) Correlation between idiopathic hemifacial spasm and the MRI characteristics of the vertebral artery. J Clin Neurosci 18(4):528–530
pubmed: 21316241
doi: 10.1016/j.jocn.2010.08.015
Nielsen VK (1985) Electrophysiology of the facial nerve in hemifacial spasm: ectopic/ephaptic excitation. Muscle Nerve 8(7):545–555
pubmed: 2995804
doi: 10.1002/mus.880080702
Rosenstengel C, Matthes M, Baldauf J, Fleck S, Schroeder H (2012) Hemifacial spasm: conservative and surgical treatment options. Dtsch Arztebl Int 109(41):667–673
pubmed: 23264807
pmcid: 3487151
Choi SI, Kim MW, Park DY, Huh R, Jang DH (2013) Electrophysiologic investigation during facial motor neuron suppression in patients with hemifacial spasm: possible pathophysiology of hemifacial spasm: a pilot study. Ann Rehabil Med 37(6):839–847
pubmed: 24466519
pmcid: 3895524
doi: 10.5535/arm.2013.37.6.839
Huh R, Han IB, Moon JY, Chang JW, Chung SS (2008) Microvascular decompression for hemifacial spasm: analyses of operative complications in 1582 consecutive patients. Surg Neurol 69(2):153–157 discussion 157
pubmed: 18261641
doi: 10.1016/j.surneu.2007.07.027
Kondo A (2001) Microvascular decompression surgery for trigeminal neuralgia. Stereotact Funct Neurosurg 77(1–4):187–189
pubmed: 12378075
doi: 10.1159/000064619
Hyun SJ, Kong DS, Park K (2010) Microvascular decompression for treating hemifacial spasm: lessons learned from a prospective study of 1,174 operations. Neurosurg Rev 33(3):325–334 discussion 334
pubmed: 20349099
doi: 10.1007/s10143-010-0254-9
Wilkinson MF, Kaufmann AM (2005) Monitoring of facial muscle motor evoked potentials during microvascular decompression for hemifacial spasm: evidence of changes in motor neuron excitability. J Neurosurg 103(1):64–69
pubmed: 16121975
doi: 10.3171/jns.2005.103.1.0064
Zhong J, Li ST, Zhu J, Guan HX, Zhou QM, Jiao W, Ying TT, Yang XS, Zhan WC, Hua XM (2012) A clinical analysis on microvascular decompression surgery in a series of 3000 cases. Clin Neurol Neurosurg 114(7):846–851
pubmed: 22310997
doi: 10.1016/j.clineuro.2012.01.021
Polo G, Fischer C, Sindou MP, Marneffe V (2004) Brainstem auditory evoked potential monitoring during microvascular decompression for hemifacial spasm: intraoperative brainstem auditory evoked potential changes and warning values to prevent hearing loss–prospective study in a consecutive series of 84 patients. Neurosurgery 54(1):97–104 discussion 104–106
pubmed: 14683545
doi: 10.1227/01.NEU.0000097268.90620.07
Sekula RF Jr., Frederickson AM, Arnone GD, Quigley MR, Hallett M (2013) Microvascular decompression for hemifacial spasm in patients > 65 years of age: an analysis of outcomes and complications. Muscle Nerve 48(5):770–776
pubmed: 24000070
doi: 10.1002/mus.23800
Engh JA, Horowitz M, Burkhart L, Chang YF, Kassam A (2005) Repeat microvascular decompression for hemifacial spasm. J Neurol Neurosurg Psychiatry 76(11):1574–1580
pubmed: 16227555
pmcid: 1739385
doi: 10.1136/jnnp.2004.056861
Kondo A, Akiyama O, Suzuki M, Arai H (2018) Prosthetic material degeneration over time as a possible factor in delayed recurrence of hemifacial spasm after successful microvascular decompression. Surg Neurol Int 9:187
pubmed: 30283720
pmcid: 6157039
doi: 10.4103/sni.sni_146_18
Chang WS, Chung JC, Kim JP, Chung SS, Chang JW (2012) Delayed recurrence of hemifacial spasm after successful microvascular decompression: follow-up results at least 5 years after surgery. Acta Neurochir (Wien) 154(9):1613–1619
pubmed: 22843173
doi: 10.1007/s00701-012-1424-z
Payner TD, Tew JM Jr. (1996) Recurrence of hemifacial spasm after microvascular decompression. Neurosurgery 38(4):686–690 discussion 690–681
pubmed: 8692385
doi: 10.1227/00006123-199604000-00009
Helal A, Graffeo CS, Meyer FB, Pollock BE, Link MJ (2024) Predicting long-term outcomes after microvascular decompression for hemifacial spasm according to lateral spread response and immediate postoperative outcomes: a cohort study. J Neurosurg 140(6):1664–1671
Campos-Benitez M, Kaufmann AM (2008) Neurovascular compression findings in hemifacial spasm. J Neurosurg 109(3):416–420
pubmed: 18759570
doi: 10.3171/JNS/2008/109/9/0416
Bigder MG, Kaufmann AM (2016) Failed microvascular decompression surgery for hemifacial spasm due to persistent neurovascular compression: an analysis of reoperations. J Neurosurg 124(1):90–95
pubmed: 26295916
doi: 10.3171/2015.1.JNS142714
Hitotsumatsu T, Matsushima T, Inoue T (2003) Microvascular decompression for treatment of trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia: three surgical approach variations: technical note. Neurosurgery 53(6):1436–1441 discussion 1442–1433
pubmed: 14633313
doi: 10.1227/01.NEU.0000093431.43456.3B
Chung SS, Chang JH, Choi JY, Chang JW, Park YG (2001) Microvascular decompression for hemifacial spasm: a long-term follow-up of 1,169 consecutive cases. Stereotact Funct Neurosurg 77(1–4):190–193
pubmed: 12428639
doi: 10.1159/000064620
Rhoton AL Jr. (2000) The cerebellopontine angle and posterior fossa cranial nerves by the retrosigmoid approach. Neurosurgery 47(3 Suppl):S93–129
pubmed: 10983306
doi: 10.1097/00006123-200009001-00013
Park YS, Chang JH, Cho J, Park YG, Chung SS, Chang JW (2006) Reoperation for persistent or recurrent hemifacial spasm after microvascular decompression. Neurosurgery 58(6):1162–1167 discussion 1162–1167
pubmed: 16723895
doi: 10.1227/01.NEU.0000215954.97948.B3
Chang B, Tang Y, Wei X, Li S (2022) A new application of gelatin sponge in the treatment of hemifacial spasm by microvascular decompression: a technical note. J Neurol Surg Cent Eur Neurosurg 83(2):183–186
doi: 10.1055/s-0040-1720994
Alpaslan C, Alpaslan GH, Oygur T (1997) Tissue reaction to three subcutaneously implanted local hemostatic agents. Br J Oral Maxillofac Surg 35(2):129–132
pubmed: 9146872
doi: 10.1016/S0266-4356(97)90689-6
Cegielski M, Izykowska I, Podhorska-Okolow M, Zabel M, Dziegiel P (2008) Development of foreign body giant cells in response to implantation of spongostan as a scaffold for cartilage tissue engineering. Vivo 22(2):203–206
Kos M, Staniszewska-Kus J, Matusiewicz M, Luczak K, Klempous R, Pielka S (2003) Tissue reaction after implantation of spongostan, as the carrier of xenogenic bone morphogenetic protein. experimental study. Polim Med 33(1–2):25–33
pubmed: 12894643
Gonzalez-Lopez P, Harput MV, Ture H, Atalay B, Ture U (2015) Efficacy of placing a thin layer of gelatin sponge over the subdural space during dural closure in preventing meningo-cerebral adhesion. World Neurosurg 83(1):93–101
pubmed: 24560706
doi: 10.1016/j.wneu.2014.02.032
Flanders TM, Blue R, Roberts S, McShane BJ, Wilent B, Tambi V, Petrov D, Lee JYK (2018) Fully endoscopic microvascular decompression for hemifacial spasm. J Neurosurg 131(3):813–819
pubmed: 30497190
doi: 10.3171/2018.4.JNS172631
Abdeen K, Kato Y, Kiya N, Yoshida K, Kanno T (2000) Neuroendoscopy in microvascular decompression for trigeminal neuralgia and hemifacial spasm: technical note. Neurol Res 22(5):522–526
pubmed: 10935228
doi: 10.1080/01616412.2000.11740712
Jarrahy R, Cha ST, Eby JB, Berci G, Shahinian HK (2002) Fully endoscopic vascular decompression of the glossopharyngeal nerve. J Craniofac Surg 13(1):90–95
pubmed: 11887002
doi: 10.1097/00001665-200201000-00021
Cai Q, Li Z, Guo Q, Wang W, Ji B, Chen Z, Dong H, Mao S (2023) Microvascular decompression using a fully transcranial neuroendoscopic approach. Br J Neurosurg 37(5):1375–1378
pubmed: 33491507
doi: 10.1080/02688697.2020.1820943
Zheng X, Zhang B, Shao D, Cai L, Xie S, Li Y, Jiang Z (2024) Fully endoscopic microvascular decompression for hemifacial spasm: a clinical study and analysis. Neurosurg Rev 47(1):83
pubmed: 38363437
pmcid: 10873216
doi: 10.1007/s10143-024-02311-5
Feng BH, Zhong WX, Li ST, Wang XH (2020) Fully endoscopic microvascular decompression of the hemifacial spasm: our experience. Acta Neurochir (Wien) 162(5):1081–1087
pubmed: 32133573
doi: 10.1007/s00701-020-04245-5
Zhu J, Sun J, Li R, Yu Y, Zhang L (2021) Fully endoscopic versus microscopic vascular decompression for hemifacial spasm: a retrospective cohort study. Acta Neurochir (Wien) 163(9):2417–2423
pubmed: 33765219
doi: 10.1007/s00701-021-04824-0
Peng W, Zhao R, Guan F, Liang X, Jing B, Zhu G, Mao B, Hu Z (2023) Fully endoscopic microvascular decompression for the treatment of hemifacial spasm, trigeminal neuralgia, and glossopharyngeal neuralgia: a retrospective study. BMC Surg 23(1):331
pubmed: 37891595
pmcid: 10612333
doi: 10.1186/s12893-023-02214-0
Mori K, Otani N, Toyooka T, Morita S, Numazawa S, Wada K, Watanabe S (2023) Validation of efficacy and safety of TachoSil (R) tissue sealant for vessel transposition in microvascular decompression. Oper Neurosurg (Hagerstown) 25(5):417–425
pubmed: 37820076
Matmusaev M, Kumar RS, Yamada Y, Nagatani T, Kawase T, Tanaka R, Kyosuke M, Kato Y (2020) Endoscopic microvascular decompression for hemifacial spasm. Asian J Neurosurg 15(4):833–838
pubmed: 33708651
pmcid: 7869256
doi: 10.4103/ajns.AJNS_152_20
Joo BE, Kim JS, Deletis V, Park KS (2022) Advances in intraoperative neurophysiology during microvascular decompression surgery for hemifacial spasm. J Clin Neurol 18(4):410–420
pubmed: 35796266
pmcid: 9262452
doi: 10.3988/jcn.2022.18.4.410
Uhl C, Vajkoczy P (2023) Contact-free transposition and interposition techniques for trigeminal neuralgia: a systematic review. J Neurosurg Sci 67(1):36–45
pubmed: 36082834
doi: 10.23736/S0390-5616.22.05514-X
Hatayama T, Kono T, Harada Y, Yamashita K, Utsunomiya T, Hayashi M, Nakajima H, Hatanaka R, Shimada D, Takemura A et al (2015) Indications and timings of re-operation for residual or recurrent hemifacial spasm after microvascular decompression: personal experience and literature review. Neurol Med Chir (Tokyo) 55(8):663–668
pubmed: 26226977
doi: 10.2176/nmc.ra.2014-0386