Titre : Banques de tissus

Banques de tissus : Questions médicales fréquentes

Termes MeSH sélectionnés :

Microvascular Decompression Surgery
{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Banques de tissus : Questions médicales les plus fréquentes", "headline": "Banques de tissus : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Banques de tissus : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-07-22", "dateModified": "2025-04-18", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Banques de tissus" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "isPartOf": { "@type": "MedicalWebPage", "name": "Biobanques", "url": "https://questionsmedicales.fr/mesh/D018070", "about": { "@type": "MedicalCondition", "name": "Biobanques", "code": { "@type": "MedicalCode", "code": "D018070", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "N02.278.065" } } }, "hasPart": [ { "@type": "MedicalWebPage", "name": "Banques d'os", "alternateName": "Bone Banks", "url": "https://questionsmedicales.fr/mesh/D018586", "about": { "@type": "MedicalCondition", "name": "Banques d'os", "code": { "@type": "MedicalCode", "code": "D018586", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "N02.278.065.900.205" } } }, { "@type": "MedicalWebPage", "name": "Banques des yeux", "alternateName": "Eye Banks", "url": "https://questionsmedicales.fr/mesh/D005125", "about": { "@type": "MedicalCondition", "name": "Banques des yeux", "code": { "@type": "MedicalCode", "code": "D005125", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "N02.278.065.900.400" } } } ], "about": { "@type": "MedicalCondition", "name": "Banques de tissus", "alternateName": "Tissue Banks", "code": { "@type": "MedicalCode", "code": "D014015", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "Victoria Stadler Tasca Ribeiro", "url": "https://questionsmedicales.fr/author/Victoria%20Stadler%20Tasca%20Ribeiro", "affiliation": { "@type": "Organization", "name": "Division of Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil." } }, { "@type": "Person", "name": "Luciana Cristina Wollmann", "url": "https://questionsmedicales.fr/author/Luciana%20Cristina%20Wollmann", "affiliation": { "@type": "Organization", "name": "Human Tissues Bank, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil." } }, { "@type": "Person", "name": "Paula Hansen Suss", "url": "https://questionsmedicales.fr/author/Paula%20Hansen%20Suss", "affiliation": { "@type": "Organization", "name": "Division of Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil." } }, { "@type": "Person", "name": "Felipe Francisco Tuon", "url": "https://questionsmedicales.fr/author/Felipe%20Francisco%20Tuon", "affiliation": { "@type": "Organization", "name": "Division of Infectious Diseases, School of Medicine, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil. felipe.tuon@pucpr.br." } }, { "@type": "Person", "name": "Giulia Montagner", "url": "https://questionsmedicales.fr/author/Giulia%20Montagner", "affiliation": { "@type": "Organization", "name": "Fondazione Banca dei Tessuti del Veneto (FBTV), 31100 Treviso, Italy." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Sex-Specific Pain Outcomes Following Microvascular Decompression for Trigeminal Neuralgia.", "datePublished": "2023-02-23", "url": "https://questionsmedicales.fr/article/36828277", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1016/j.wneu.2023.02.074" } }, { "@type": "ScholarlyArticle", "name": "Safety and Cost Savings Associated with Reduced Inpatient Hospitalization for Microvascular Decompression.", "datePublished": "2022-07-13", "url": "https://questionsmedicales.fr/article/35842175", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1016/j.wneu.2022.07.037" } }, { "@type": "ScholarlyArticle", "name": "Microvascular decompression in trigeminal neuralgia with the offending artery transfixing the nerve: a case report.", "datePublished": "2022-07-04", "url": "https://questionsmedicales.fr/article/35787797", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1186/s12883-022-02765-4" } }, { "@type": "ScholarlyArticle", "name": "Treatment of pediatric trigeminal neuralgia with microvascular decompression: a case series and systematic review.", "datePublished": "2023-06-16", "url": "https://questionsmedicales.fr/article/37347654", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.3171/2023.4.PEDS22494" } }, { "@type": "ScholarlyArticle", "name": "Beyond the observation of all or nothing: The clinical significance of the pre-decompression instability of abnormal muscle response in Microvascular decompression for Hemifacial spasm.", "datePublished": "2022-08-12", "url": "https://questionsmedicales.fr/article/35970062", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1016/j.jocn.2022.08.006" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Établissements, main d'oeuvre et services de soins de santé", "item": "https://questionsmedicales.fr/mesh/D005159" }, { "@type": "ListItem", "position": 3, "name": "Établissements de santé", "item": "https://questionsmedicales.fr/mesh/D006268" }, { "@type": "ListItem", "position": 4, "name": "Biobanques", "item": "https://questionsmedicales.fr/mesh/D018070" }, { "@type": "ListItem", "position": 5, "name": "Banques de tissus", "item": "https://questionsmedicales.fr/mesh/D014015" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Banques de tissus - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Banques de tissus", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-05-15", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Banques de tissus", "description": "Comment sont diagnostiquées les maladies nécessitant des tissus ?\nQuels tests sont utilisés pour évaluer la qualité des tissus ?\nLes banques de tissus effectuent-elles des diagnostics ?\nQuels critères sont utilisés pour sélectionner les tissus ?\nComment les tissus sont-ils prélevés pour analyse ?", "url": "https://questionsmedicales.fr/mesh/D014015?mesh_terms=Microvascular+Decompression+Surgery&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Banques de tissus", "description": "Quels symptômes peuvent indiquer un besoin de greffe de tissu ?\nLes maladies liées aux tissus présentent-elles des symptômes spécifiques ?\nComment les symptômes influencent-ils le choix des tissus ?\nLes symptômes peuvent-ils varier selon le donneur de tissu ?\nQuels symptômes sont associés aux rejets de greffe ?", "url": "https://questionsmedicales.fr/mesh/D014015?mesh_terms=Microvascular+Decompression+Surgery&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Banques de tissus", "description": "Comment prévenir les infections lors de greffes ?\nQuelles mesures sont prises pour éviter le rejet ?\nLes banques de tissus effectuent-elles des tests de dépistage ?\nComment sensibiliser le public sur le don de tissus ?\nQuelles sont les recommandations pour les donneurs potentiels ?", "url": "https://questionsmedicales.fr/mesh/D014015?mesh_terms=Microvascular+Decompression+Surgery&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Banques de tissus", "description": "Quels traitements utilisent des tissus de banques ?\nComment les tissus sont-ils préparés pour les traitements ?\nLes banques de tissus participent-elles à la recherche ?\nQuels sont les risques associés aux traitements par greffe ?\nLes traitements par tissus sont-ils toujours efficaces ?", "url": "https://questionsmedicales.fr/mesh/D014015?mesh_terms=Microvascular+Decompression+Surgery&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Banques de tissus", "description": "Quelles complications peuvent survenir après une greffe ?\nComment gérer les complications post-greffe ?\nLes complications varient-elles selon le type de tissu ?\nQuels signes indiquent une complication après greffe ?\nLes complications peuvent-elles être évitées ?", "url": "https://questionsmedicales.fr/mesh/D014015?mesh_terms=Microvascular+Decompression+Surgery&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Banques de tissus", "description": "Quels facteurs augmentent le risque de rejet ?\nLe tabagisme influence-t-il le succès des greffes ?\nComment l'âge affecte-t-il le don de tissus ?\nLes antécédents médicaux influencent-ils le don de tissus ?\nQuels comportements à risque affectent le don de tissus ?", "url": "https://questionsmedicales.fr/mesh/D014015?mesh_terms=Microvascular+Decompression+Surgery&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment sont diagnostiquées les maladies nécessitant des tissus ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Les maladies sont diagnostiquées par des examens cliniques, imageries et analyses de tissus." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la qualité des tissus ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des tests histologiques et microbiologiques sont effectués pour évaluer la qualité." } }, { "@type": "Question", "name": "Les banques de tissus effectuent-elles des diagnostics ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Non, elles ne diagnostiquent pas, mais fournissent des tissus pour des diagnostics." } }, { "@type": "Question", "name": "Quels critères sont utilisés pour sélectionner les tissus ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Les tissus sont sélectionnés selon des critères de qualité, d'origine et d'usage prévu." } }, { "@type": "Question", "name": "Comment les tissus sont-ils prélevés pour analyse ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les tissus sont prélevés par biopsie ou lors de chirurgies, sous conditions stériles." } }, { "@type": "Question", "name": "Quels symptômes peuvent indiquer un besoin de greffe de tissu ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme la douleur chronique ou la défaillance d'organe peuvent indiquer ce besoin." } }, { "@type": "Question", "name": "Les maladies liées aux tissus présentent-elles des symptômes spécifiques ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, chaque maladie peut avoir des symptômes spécifiques selon le type de tissu affecté." } }, { "@type": "Question", "name": "Comment les symptômes influencent-ils le choix des tissus ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes aident à déterminer le type de tissu nécessaire pour le traitement approprié." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils varier selon le donneur de tissu ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier en fonction de l'état de santé du donneur et de son historique." } }, { "@type": "Question", "name": "Quels symptômes sont associés aux rejets de greffe ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme la douleur, la fièvre et l'inflammation peuvent indiquer un rejet." } }, { "@type": "Question", "name": "Comment prévenir les infections lors de greffes ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Des protocoles stricts de stérilisation et de suivi post-greffe sont essentiels." } }, { "@type": "Question", "name": "Quelles mesures sont prises pour éviter le rejet ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Des immunosuppresseurs sont administrés pour réduire le risque de rejet après greffe." } }, { "@type": "Question", "name": "Les banques de tissus effectuent-elles des tests de dépistage ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles effectuent des tests pour dépister les maladies transmissibles chez les donneurs." } }, { "@type": "Question", "name": "Comment sensibiliser le public sur le don de tissus ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des campagnes d'information et d'éducation sont menées pour encourager le don de tissus." } }, { "@type": "Question", "name": "Quelles sont les recommandations pour les donneurs potentiels ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Les donneurs doivent être en bonne santé et respecter les critères d'éligibilité établis." } }, { "@type": "Question", "name": "Quels traitements utilisent des tissus de banques ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les greffes de peau, de cornée et d'organes utilisent des tissus provenant de banques." } }, { "@type": "Question", "name": "Comment les tissus sont-ils préparés pour les traitements ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les tissus sont stérilisés, conservés et parfois modifiés pour s'adapter aux traitements." } }, { "@type": "Question", "name": "Les banques de tissus participent-elles à la recherche ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles fournissent des tissus pour la recherche sur les maladies et les traitements." } }, { "@type": "Question", "name": "Quels sont les risques associés aux traitements par greffe ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent le rejet, les infections et les complications liées à l'anesthésie." } }, { "@type": "Question", "name": "Les traitements par tissus sont-ils toujours efficaces ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité dépend de nombreux facteurs, y compris la compatibilité et l'état du patient." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une greffe ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent le rejet, les infections et des réactions allergiques." } }, { "@type": "Question", "name": "Comment gérer les complications post-greffe ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi médical régulier et des traitements appropriés sont nécessaires pour gérer les complications." } }, { "@type": "Question", "name": "Les complications varient-elles selon le type de tissu ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les complications peuvent varier selon le type de tissu greffé et l'état du patient." } }, { "@type": "Question", "name": "Quels signes indiquent une complication après greffe ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme la douleur accrue, la fièvre ou l'inflammation peuvent indiquer une complication." } }, { "@type": "Question", "name": "Les complications peuvent-elles être évitées ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent être évitées par une bonne préparation et un suivi rigoureux." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de rejet ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent la compatibilité tissulaire, l'âge et l'état de santé général du patient." } }, { "@type": "Question", "name": "Le tabagisme influence-t-il le succès des greffes ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut compromettre la guérison et augmenter le risque de complications." } }, { "@type": "Question", "name": "Comment l'âge affecte-t-il le don de tissus ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "L'âge peut influencer la qualité des tissus et la décision d'accepter un don." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils le don de tissus ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies transmissibles peuvent rendre un donneur inéligible." } }, { "@type": "Question", "name": "Quels comportements à risque affectent le don de tissus ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Des comportements comme l'usage de drogues ou des relations sexuelles non protégées peuvent affecter l'éligibilité." } } ] } ] }

Sources (10000 au total)

Sex-Specific Pain Outcomes Following Microvascular Decompression for Trigeminal Neuralgia.

Trigeminal neuralgia (TN) is more prevalent among women. However, while microvascular decompression (MVD) is the most effective long-term surgical treatment for TN, it is unclear whether it is equally... From 2007 to 2020, 938 unilateral TN patients were treated with MVD at our institution. Patient demographics, clinical characteristics, operative features, and pain outcomes were recorded. Differences... A majority (67%) of the 938 patients analyzed were female. Men and women presented with similar preoperative pain severity (P = 0.17). Female sex (P = 0.048) and younger age (P = 0.03) were independen... Female TN patients undergoing MVD had worse pain outcomes, more frequent pain recurrence, and shorter time to recurrence. Our results indicate a sex-specific dimorphism in response to MVD among TN pat...

Safety and Cost Savings Associated with Reduced Inpatient Hospitalization for Microvascular Decompression.

Microvascular decompression (MVD) has grown as a first-line surgical intervention for severe facial pain from trigeminal neuralgia and/or hemifacial spasm. We sought to examine the safety and cost-ben... We retrospectively reviewed patients undergoing MVD at our institution from 2008 to 2020. Patients were sorted by 1 day, 2 days, or >2 days until discharge and by year from 2008 to 2013, 2014 to 2018,... Our cohort included 976 patients undergoing MVD, with 231 (23.6%) between 2008 and 2013, 517 (52.9%) between 2014 and 2018, and 228 (23.3%) between 2019 and 2020. Over time, postoperative admission ra... In our experience, MVDs are a safe, elective intervention. Our findings suggest that postoperative day 1 discharge in patients with an uncomplicated postoperative course may be safe while improving ho...

Microvascular decompression in trigeminal neuralgia with the offending artery transfixing the nerve: a case report.

An anterior inferior cerebellar artery (AICA) that crosses the right trigeminal nerve is an uncommon arterial anatomic variation. In this anatomical position, it is difficult to separate or move the o... A 34-year-old man with 5 years history who complained of pain on the right side of the face (area V1). The symptoms gradually worsened, and the pain episodes became intense and frequent. Magnetic reso... MVD is an effective treatment for artery-induced trigeminal nerve compression, but we report a novel procedure that avoids the complication of facial numbness caused by cutting the offending vessels a...

Treatment of pediatric trigeminal neuralgia with microvascular decompression: a case series and systematic review.

Trigeminal neuralgia (TN) is a rare disorder, affecting 4-13 per 100,000 people annually. Only 1%-1.5% of these cases are reported before the age of 18 years. The initial management of pediatric TN is... An institutional, retrospective chart review was performed to identify patients younger than 18 years old who were diagnosed with classic TN and referred for surgical evaluation at Oklahoma Children's... Three patients from OCH were identified, ranging in age from 3 to 11 years. All 3 patients had received multiple ineffective medical therapies before referral for neurosurgical evaluation. In 2 cases,... There are currently no guidelines for diagnosing or treating pediatric TN. MVD is a safe and effective option in this patient population. Early evaluation for surgical intervention could be critical f...

Beyond the observation of all or nothing: The clinical significance of the pre-decompression instability of abnormal muscle response in Microvascular decompression for Hemifacial spasm.

In microvascular decompression (MVD) surgery, abnormal muscle response (AMR) monitoring was utilized to confirm sufficient decompression. However, the AMR seems to contain more information that could ... Patients' records of HFS treated with MVD under AMR monitoring, from January 2018 to December 2019 in our centre, were retrospectively reviewed. MVD procedures were performed via a suboccipital retros... 165 cases were found with full follow-up data. In these cases, PDI was recognized in 144 cases. And in the remaining 21 cases, the AMR disappeared abruptly or continued to exist to the end of the MVD ... The appearance and observation of pre-decompression instability of AMR monitoring made a positive impact on the surgical outcomes of MVD surgeries. The advent of PDI indicates that the key step of the...

Anatomical considerations and surgical manipulation of the rhomboid lip in microvascular decompression for hemifacial spasm.

In microvascular decompression (MVD) procedures for hemifacial spasm (HFS), surgeons often encounter a rhomboid lip which may obscure the root exit zone (REZ) of the facial nerve. This study aims to e... A retrospective analysis was conducted on 111 patients treated for HFS between April 2021 and March 2023. The presence of a rhomboid lip was assessed through operative video records, and its character... Rhomboid lips were identified in 33% of the patients undergoing MVD, with a higher prevalence in females and predominantly on the left side. Two distinct types of rhomboid lips were observed: membrano... Recognizing the two variations of the rhomboid lip and understanding their anatomical structures are essential for reducing lower cranial nerve injuries and ensuring effective nerve decompression....

Application of Neuronavigation in Microvascular Decompression: Optimizing Craniotomy and 3D Reconstruction of Neurovascular Compression.

Microvascular decompression (MVD) is the best curative treatment for trigeminal neuralgia and hemifacial spasm. We used the neuronavigation to reconstruct the 3D image of cranial nerve and blood vesse... A total of 11 trigeminal neuralgia and 12 hemifacial spasm cases were selected. All patients had preoperative MRI which included 3D Time of Flight (3D-TOF), Magnetic Resonance Venography (MRV) and com... Approaching to the cerebellopontine angle right after opening the dura and got no cerebellar retracion or petrosal vein rupture during craniotomy. Ten of 11 trigeminal neuralgia and all 12 hemifacial ... Through the neuronavigation guided craniotomy and the 3D neurovascular reconstruction, surgeons can better identify the compression of nerve and blood vessel, and reduce complications....

Microvascular Decompression for Concurrent Trigeminal Neuralgia and Hemi-Laryngopharyngeal Spasm: A Case Report.

Hemi-laryngopharyngeal spasm (HeLPS) may result from vascular compression of the vagus nerve and can be treated using microvascular decompression. We describe the clinical characteristics and surgical... A 44-year-old man presented with a 12-month history of right TN and 8-month history of intermittent episodes of repeated throat contractions associated with a very distressing choking sensation. Preop... HeLPS may occur with TN, and neurosurgeons should identify the symptoms suspicious of this disease preoperatively....

Endoscope-Assisted Microvascular Decompression in Hemifacial Spasm: 2-Dimensional Operative Video.

This video demonstrates our endoscope-assisted microvascular decompression (MVD) technique in hemifacial spasm. A 2-cm lower retrosigmoid approach is used to reach the facial nerve exit zone. The addi... A neurovascular conflict in the facial nerve exit zone is to be identified on CISS-MRI. A CT scan helps assessing the approach. Acoustic evoked potentials and facial nerve neuromonitoring including la... The patient is positioned supine with 45° head rotation to the contralateral side. In addition, the operating table is tilted 30° to facilitate optimal cerebellar retraction by gravity avoiding the ne... Jugular vein compression by excessive head rotation must be avoided. Teflon placed directly onto the nerve can cause spasms itself. Opened mastoid cells are carefully sealed.... Transposition is favored over interposition. Besides shredded Teflon, a Teflon-Bridge or Teflon-Sling can be placed. 3-5The patient consented to the procedure and to the publication of her image....