Endoscopy as a Tool in Minimally Invasive Trigeminal Neuralgia Surgery

Hf, El-Garem; Badr-El-Dine, Mohamed; Am, Talaat; Magnan, J.

doi:10.1097/00129492-200203000-00004

Cited by 57 publications

(46 citation statements)

References 9 publications

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“…Rigid endoscopy brings more light into the surgical field, extends the viewing angle to inspect hidden areas of the REZ, and permits management of vascular conflicts without extensive surgical dissection or retraction. Several reports have described the use of endoscopy in MVD (Magnan et al, 1994;Abdeen et al, 2000;Jarrahy et al, 2000;El-Garem et al, 2002;Rak et al, 2004;Miyazaki et al, 2005). Few have described detailed and precise relations between the nerve and offending vessels.…”

Section: Abstract: Trigeminal Neuralgia Microvascular Decompressionmentioning

confidence: 99%

Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia

Chen

Zhang

Chen

et al. 2008

Journal of Cranio-Maxillofacial Surgery

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Section: Abstract: Trigeminal Neuralgia Microvascular Decompressionmentioning

confidence: 99%

Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia

Chen

Zhang

Chen

et al. 2008

Journal of Cranio-Maxillofacial Surgery

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“…An approach that avoids these structures is appealing because venous sinuses can be a source of significant bleeding complications, and mastoid bone can be a conduit for cerebrospinal fluid (CSF) leakage and postoperative otorrhea or rhinorrhea. This simple, elegant approach has been refined for microvascular decompression operations, with dime-sized craniectomies and minimal patient discomfort (7,17).…”

mentioning

confidence: 99%

The Extended Retrosigmoid Approach:An Alternative To Radical Cranial Base Approaches For Posterior Fossa Lesions

Quiñones‐Hinojosa

Chang

Lawton

2006

Operative Neurosurgery

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The application of the extended retrosigmoid approach to a series of complex lesions in the posterior fossa demonstrates its applicability as an alternative to radical cranial base approaches. The extended retrosigmoid approach requires a fundamental change in the management of the sigmoid sinus. The neurosurgeon must be familiar with petrous bone anatomy, experienced dissecting through bone using a high-speed drill, and comfortable working directly over a major venous sinus. The technical modifications of the extended retrosigmoid approach can be incorporated into the neurosurgical repertoire and will enhance exposure of the cerebellopontine angle and deep vascular structures, thereby minimizing the need for brain retraction and other transpetrous approaches.

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“…The endoscopically assisted retrosigmoid approach was initially developed by Bremond and Magnan [39][40][41][42][43][44][45][46][47][48][49] . Using endoscope-assisted surgery in vascular compression syndrome, the CPA is explored by a 30°-angled endoscope, which gives a panoramic view of this space and allows clear visualization of the whole trigeminal nerve region; this allows precise mapping of the site and the course of the offending vessel, minimizing missing any offending vessel and extensive retraction and dissection in the CPA.…”

Section: Discussionmentioning

confidence: 99%

Endoscopy-Assisted Microvascular Decompression for Trigeminal Neuralgia: The Prognostic Impact of Interposing Material

Haidar¹,

Montava²,

Collin³

et al. 2014

Int Adv Otol

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OBJECTIVE:Trigeminal neuralgia is a disorder associated with severe episodes of lancinating pain in the distribution of trigeminal nerve. The majority of these patients eventually requires surgical management to achieve remission of symptoms. Microvascular decompression addresses the root cause of the disease and is more effective than ablative procedures at preventing recurrence of symptoms. However, several long-term follow-up studies have disclosed that the efficacy of the procedure gradually decreases over time and have related recurrence to some clinical variables. Our objective is to study the impact of the type of interposing materials used for decompression on long-term success rate. MATERIALS and METHODS:We conducted a retrospective chart review of 65 patients with trigeminal neuralgia operated between 2007 and 2010 in an otology/base of skull tertiary referral center. Endoscopy-assisted microvascular decompression was used for all patients. Three types of interposing material were used: Teflon in 30 patients (Group I); muscle in 19 patients (Group II); and a combination of both in 16 patients (Group III). The minimum follow-up period was 3 years. RESULTS:In total, 17 (26.1%) of the 65 patients had recurrence of their symptoms. Average time for recurrence was 7.82+/-4.31 months; 95% of recurrences appeared within the first year. Recurrence rate was lower in Group II (5.2%) as compared to Group I (40%) and Group III (23%), and the difference was statistically significant (p≤0.05). CONCLUSION:Microvascular decompression with interposition of a muscle pad carries a lower recurrence rate as compared to interposition of Teflon alone or in combination with muscle.

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Endoscopy as a Tool in Minimally Invasive Trigeminal Neuralgia Surgery

Abstract: The minimally invasive retrosigmoid endoscopic-assisted microvascular decompression is an acceptable treatment of primary trigeminal neuralgia. Endoscopy provides a unique way to explore the cerebellopontine angle and to identify the exact location of the neurovascular conflict.

Cited by 57 publications

References 9 publications

Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia

Endoscopic neurovascular perspective in microvascular decompression of trigeminal neuralgia

The Extended Retrosigmoid Approach:An Alternative To Radical Cranial Base Approaches For Posterior Fossa Lesions

Endoscopy-Assisted Microvascular Decompression for Trigeminal Neuralgia: The Prognostic Impact of Interposing Material

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