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Second microvascular decompression for trigeminal neuralgia in recurrent cases after microvascular decompression.
J Craniofac Surg. 2015 Mar; 26(2):491-4.JC

Abstract

OBJECTIVES

The objectives of this work are to report the outcomes of our finding during microvascular decompression (MVD) for patients with recurrent trigeminal neuralgia (TN) and to introduce the sling retraction technique.

METHODS

The authors performed a retrospective review of redo MVD for consecutive cases with recurrent TN after previous operation. Sling retraction techniques were used during the reoperation.

RESULTS

Fifteen patients underwent redo MVD. During the second operation, arachnoid adhesion of the Teflon felt was confirmed at the trigeminal nerve in 10 cases, and neurovascular conflict was found in 4 cases. Symptoms were completely relieved in 14 patients (93.3%) and partially relieved in 1 patient (6.7%). The mean follow-up period was 38 months (range, 21-60 months), and no patient experienced recurrence.

CONCLUSIONS

Arachnoid adhesion of the Teflon felt and vascular compression to the nerve were main causes of recurrence. The sling retraction technique is still an effective and useful treatment for recurrent TN after MVD.

Authors+Show Affiliations

From the Department of Neurosurgery, Suzhou Kowloon Hospital, Shanghai Jiaotong University School of Medicine, Suzhou, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25759921

Citation

Yang, De-bao, et al. "Second Microvascular Decompression for Trigeminal Neuralgia in Recurrent Cases After Microvascular Decompression." The Journal of Craniofacial Surgery, vol. 26, no. 2, 2015, pp. 491-4.
Yang DB, Jiang DY, Chen HC, et al. Second microvascular decompression for trigeminal neuralgia in recurrent cases after microvascular decompression. J Craniofac Surg. 2015;26(2):491-4.
Yang, D. B., Jiang, D. Y., Chen, H. C., & Wang, Z. M. (2015). Second microvascular decompression for trigeminal neuralgia in recurrent cases after microvascular decompression. The Journal of Craniofacial Surgery, 26(2), 491-4. https://doi.org/10.1097/SCS.0000000000001523
Yang DB, et al. Second Microvascular Decompression for Trigeminal Neuralgia in Recurrent Cases After Microvascular Decompression. J Craniofac Surg. 2015;26(2):491-4. PubMed PMID: 25759921.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Second microvascular decompression for trigeminal neuralgia in recurrent cases after microvascular decompression. AU - Yang,De-bao, AU - Jiang,Dong-yi, AU - Chen,Han-chun, AU - Wang,Zhi-min, PY - 2015/3/12/entrez PY - 2015/3/12/pubmed PY - 2015/12/15/medline SP - 491 EP - 4 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 26 IS - 2 N2 - OBJECTIVES: The objectives of this work are to report the outcomes of our finding during microvascular decompression (MVD) for patients with recurrent trigeminal neuralgia (TN) and to introduce the sling retraction technique. METHODS: The authors performed a retrospective review of redo MVD for consecutive cases with recurrent TN after previous operation. Sling retraction techniques were used during the reoperation. RESULTS: Fifteen patients underwent redo MVD. During the second operation, arachnoid adhesion of the Teflon felt was confirmed at the trigeminal nerve in 10 cases, and neurovascular conflict was found in 4 cases. Symptoms were completely relieved in 14 patients (93.3%) and partially relieved in 1 patient (6.7%). The mean follow-up period was 38 months (range, 21-60 months), and no patient experienced recurrence. CONCLUSIONS: Arachnoid adhesion of the Teflon felt and vascular compression to the nerve were main causes of recurrence. The sling retraction technique is still an effective and useful treatment for recurrent TN after MVD. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/25759921/Second_microvascular_decompression_for_trigeminal_neuralgia_in_recurrent_cases_after_microvascular_decompression_ DB - PRIME DP - Unbound Medicine ER -