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Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar dolichoectasia: interposition technique versus transposition technique.
Acta Neurochir (Wien). 2020 11; 162(11):2811-2821.AN

Abstract

BACKGROUND

Various techniques of microvascular decompression have been proposed for trigeminal neuralgia (TN) caused by vertebrobasilar dolichoectasia (VBD) with two main modalities: interposition and transposition. This retrospective study compares the outcomes of two techniques belonging to different modalities for VBD-associated TN.

METHODS

From January 2011 to April 2017, 39 patients underwent MVD for VBD-associated TN. The transposition method chosen was the biomedical glue sling technique. Patients were divided into the interposition group (n = 16) and the transposition group (n = 23). The radiologic data, intraoperative findings, complications, and outcomes were analyzed.

RESULTS

The 1-, 3-, and 5-year pain-free (BNI class I) maintenance rates were 100.0, 91.1, and 91.1%, respectively, in the transposition group and 87.5, 74.5, and 58.7% in the interposition group (p = 0.032). Postoperative complications were similar in both groups, but there was a trend for higher incidence of postoperative facial hypoesthesia using the interposition technique (p = 0.06).

CONCLUSION

In cases of VBD-associated TN, the transposition technique using biomedical glue was superior to the traditional interposition technique in maintaining a pain-free status, with no increase in the incidence of complication.

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Authors+Show Affiliations

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China. Department of Neurosurgery, General Hospital of the Yangtze River Shipping, Wu Han Brain Hospital, Wuhan, China.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China.

Department of International Education, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China. lmh62265681@163.com.

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue No.1277, Wuhan, 430022, China. mozhuoxiong@163.com. Department of Neurosurgery, Zhongnan Hospital of Wuhan University, No.169, Donghu Road, Wuhan, 430071, Hubei, China. mozhuoxiong@163.com.

MeSH

FemaleHumansMaleMicrovascular Decompression SurgeryMiddle AgedPostoperative PeriodRetrospective StudiesTrigeminal NeuralgiaVertebrobasilar Insufficiency

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32935153

Citation

Chai, Songshan, et al. "Microvascular Decompression for Trigeminal Neuralgia Caused By Vertebrobasilar Dolichoectasia: Interposition Technique Versus Transposition Technique." Acta Neurochirurgica, vol. 162, no. 11, 2020, pp. 2811-2821.

Chai S, Xu H, Wang Q, et al. Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar dolichoectasia: interposition technique versus transposition technique. Acta Neurochir (Wien). 2020;162(11):2811-2821.

Chai, S., Xu, H., Wang, Q., Li, J., Wang, J., Wang, Y., Pool, H., Lin, M., & Xiong, N. (2020). Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar dolichoectasia: interposition technique versus transposition technique. Acta Neurochirurgica, 162(11), 2811-2821. https://doi.org/10.1007/s00701-020-04572-7

Chai S, et al. Microvascular Decompression for Trigeminal Neuralgia Caused By Vertebrobasilar Dolichoectasia: Interposition Technique Versus Transposition Technique. Acta Neurochir (Wien). 2020;162(11):2811-2821. PubMed PMID: 32935153.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar dolichoectasia: interposition technique versus transposition technique. AU - Chai,Songshan, AU - Xu,Hao, AU - Wang,Qiangping, AU - Li,Junjun, AU - Wang,Jiajing, AU - Wang,Yihao, AU - Pool,Hendrik, AU - Lin,Minhua, AU - Xiong,Nanxiang, Y1 - 2020/09/15/ PY - 2020/06/25/received PY - 2020/09/03/accepted PY - 2020/9/17/pubmed PY - 2021/4/24/medline PY - 2020/9/16/entrez KW - Interposition technique KW - Microvascular decompression KW - Transposition technique KW - Trigeminal neuralgia KW - Vertebrobasilar dolichoectasia SP - 2811 EP - 2821 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 162 IS - 11 N2 - BACKGROUND: Various techniques of microvascular decompression have been proposed for trigeminal neuralgia (TN) caused by vertebrobasilar dolichoectasia (VBD) with two main modalities: interposition and transposition. This retrospective study compares the outcomes of two techniques belonging to different modalities for VBD-associated TN. METHODS: From January 2011 to April 2017, 39 patients underwent MVD for VBD-associated TN. The transposition method chosen was the biomedical glue sling technique. Patients were divided into the interposition group (n = 16) and the transposition group (n = 23). The radiologic data, intraoperative findings, complications, and outcomes were analyzed. RESULTS: The 1-, 3-, and 5-year pain-free (BNI class I) maintenance rates were 100.0, 91.1, and 91.1%, respectively, in the transposition group and 87.5, 74.5, and 58.7% in the interposition group (p = 0.032). Postoperative complications were similar in both groups, but there was a trend for higher incidence of postoperative facial hypoesthesia using the interposition technique (p = 0.06). CONCLUSION: In cases of VBD-associated TN, the transposition technique using biomedical glue was superior to the traditional interposition technique in maintaining a pain-free status, with no increase in the incidence of complication. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/32935153/Microvascular_decompression_for_trigeminal_neuralgia_caused_by_vertebrobasilar_dolichoectasia:_interposition_technique_versus_transposition_technique_ DB - PRIME DP - Unbound Medicine ER -