J Otolaryngol Ophthalmol Shandong Univ ›› 2013, Vol. 27 ›› Issue (1): 36-37.doi: 10.6040/j.issn.1673-3770.0.2012.166

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Endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia (36 cases report)

ZHENG Xi-qi， XU Jun， WANG Min, LIANG Na, WU Yan-hong, JING Hui   

  1. Department of OtolaryngologyHead ＆ Neck Surgery， Dongda Hospital, Shan County 274300, Shandong， China
  • Received:2012-06-16 Published:2013-02-16

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Abstract:

Objective   To explore the method and effectiveness of endoscopic microvascular decompression in the treatment of idiopathic trigeminal neuralgia(ITN).  Methods   36 ITN cases underwent microvascular decompression under nasal endoscope by retrosigmoidal approach. In the operation, the corresponding vessel was identified and padded with Tfelon patch.   Results   The efficiency of postoperative pain relief was 97.2%. The responsiblele vessels were anterior cerebellar artery in 14 (38.9%), 10 anterior inferior cerebellar artery(27.8%), 7 posterior inferior cerebellar artery (19.4%), 2 basilar artery (5.5%), and 3 anterior cerebellar artery plus petrosal vein (8.4%). Conclusion   Microvascular decompression under nasal endoscopy is an effective method to treat idiopathic trigeminal neuralgia.

Key words: Primary, Nasal endoscopyy, Microvascular decompression, Trigeminal neuralgia

CLC Number: 

  • R745.11
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