Microvascular Decompression for Trigeminal Neuralgia and Other Neurovascular Compression Syndromes

Martinez, Jaime L; Lowe, Stephen; Vandergrift, Alexander; Patel, Sunil

doi:10.1007/978-3-319-99016-3_42

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Other reported applications are brain arteriovenous malformation resection [ 79 , 82 ] and endovascular techniques [ 83 , 84 ]. Applications in skull base neurosurgery are 3D-printed models for simulating endoscopic techniques such as endonasal transphenoidal approaches and tumor resections and open techniques such as transtemporal approaches, anterior clinoidectomies, middle, and posterior fossa approaches [ 72 , 79 , 85 – 87 ]. Applications in hydrocephalus treatment and pediatric neurosurgery are models simulating neuroendoscopic third ventriculostomies and pineal biopsies, external ventriculostomy, and craniosynostosis repair [ 72 , 79 ].…”

Section: Surgical Applicationsmentioning

confidence: 99%

Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations

Cornejo¹,

Cornejo-Aguilar

Vargas

et al. 2022

BioMed Research International

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Three-dimensional printing (3DP) has recently gained importance in the medical industry, especially in surgical specialties. It uses different techniques and materials based on patients’ needs, which allows bioprofessionals to design and develop unique pieces using medical imaging provided by computed tomography (CT) and magnetic resonance imaging (MRI). Therefore, the Department of Biology and Medicine and the Department of Physics and Engineering, at the Bioastronautics and Space Mechatronics Research Group, have managed and supervised an international cooperation study, in order to present a general review of the innovative surgical applications, focused on anatomical systems, such as the nervous and craniofacial system, cardiovascular system, digestive system, genitourinary system, and musculoskeletal system. Finally, the integration with augmented, mixed, virtual reality is analyzed to show the advantages of personalized treatments, taking into account the improvements for preoperative, intraoperative planning, and medical training. Also, this article explores the creation of devices and tools for space surgery to get better outcomes under changing gravity conditions.

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Section: Surgical Applicationsmentioning

confidence: 99%

Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations

Cornejo¹,

Cornejo-Aguilar

Vargas

et al. 2022

BioMed Research International

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“… 4 Retrosigmoid craniectomies are widely used in neurosurgery with various applications, including microvascular decompressions in patients with trigeminal neuralgia. 5-7 Removal of the suprameatal tubercle (SMT) extends the retrosigmoid approach superiorly to the middle fossa and Meckel's cave, and anteriorly to the clivus. 8 , 9 This maneuver may be necessary in patients with prominent SMTs obstructing the view of the trigeminal nerve and in patients with a more anterosuperior neurovascular conflict.…”

mentioning

confidence: 99%

Retrosigmoid Craniectomy and Suprameatal Drilling—3-Dimensionally Printed Microneurosurgical Simulation: 2-Dimensional Operative Video

Martinez¹,

Damon²,

Domingo³

et al. 2021

Operative Surg.

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Neurosurgical training is being challenged by rigorous work-hour restrictions and the COVID-19 pandemic.1 Now, more than ever, surgical simulation plays a pivotal role in resident education and psychomotor skill development. Three-dimensional (3D) printing technologies enable the construction of inexpensive, patient-specific, anatomically accurate physical models for a more convenient and realistic simulation of complex skull base approaches in a safe environment.2 All stages of the surgical procedure can be simulated, from positioning and exposure to deep microdissection, which has an unparalleled educational value. The complex approach-specific anatomy, narrow working angles, and pathoanatomic relationships can be readily explored from the surgeon's perspective or point of view.2,3 Furthermore, different thermoplastic polymers can be utilized to replicate the visual and tactile feedback of bone (cortical/cancellous), neurological, and vascular tissues.4 Retrosigmoid craniectomies are widely used in neurosurgery with various applications, including microvascular decompressions in patients with trigeminal neuralgia.5-7 Removal of the suprameatal tubercle (SMT) extends the retrosigmoid approach superiorly to the middle fossa and Meckel's cave, and anteriorly to the clivus.8,9 This maneuver may be necessary in patients with prominent SMTs obstructing the view of the trigeminal nerve and in patients with a more anterosuperior neurovascular conflict. This video illustrates a microsurgical training tool for learning and honing the technique of retrosigmoid craniectomy and suprameatal drilling using an affordable (29.00 USD) biomimetic 3D-printed simulator that closely recapitulates not only the anatomy but also the tactile feedback of drilling and manipulating neurological tissues (see Table and Graph 1; minute 07:11) as it happens at the time of surgery.

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Trigeminal Neuralgia Secondary to Meckel's Cave Meningoencephaloceles: A Systematic Review and Illustrative Case

et al. 2022

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Microvascular Decompression for Trigeminal Neuralgia and Other Neurovascular Compression Syndromes

Cited by 3 publications

References 23 publications

Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations

Anatomical Engineering and 3D Printing for Surgery and Medical Devices: International Review and Future Exponential Innovations

Retrosigmoid Craniectomy and Suprameatal Drilling—3-Dimensionally Printed Microneurosurgical Simulation: 2-Dimensional Operative Video

Trigeminal Neuralgia Secondary to Meckel's Cave Meningoencephaloceles: A Systematic Review and Illustrative Case

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