Title: Microvascular decompression for hemifacial spasm: a clinical analysis of 168 cases
Abstract: Objective The efficiency and complications of facial spasm treated with microvascular decompression( MVD) are discussed. Methods A total of 168 patients of facial spasm underwent MVD operation were analyzed retrospectively. Brainstem segment of facial nerve were showed through pompoms lobule approach.Corresponding vessels were located carefully and were pulled off from facial nerve by placing Teflon cotton between the corresponding vessels and the brainstem. Results During operation,the corresponding vessels were found as following: the anterior-inferior cerebellar artery accounted for 55. 9%( 94 /168),posterior-inferior cerebellar artery for22. 6%( 38 /168),vertebrobasilar artery for 8. 93%( 15 /168) and its multiplicity vessels for 12. 5%( 21 /168). All of these patients were followed up for 6 months after MVD. No more facial spam was found in 150 cases. The frequency and intension of facial spam in 10 cases were improved significantly. The total effective rate was 95. 2%. The decrease of audition was found in 4 cases( 2. 4%),delayed facial paralysis in 2 cases,subcutaneous effusion in 3cases( 1. 7%),and one case died( 0. 6%). Conclusion The microvascular decompression is the most effective treatment for the facial spasm.
Publication Year: 2015
Publication Date: 2015-01-01
Language: en
Type: article
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