Perioperative and long-term operative outcomes after surgery for trigeminal neuralgia: microvascular decompression vs percutaneous balloon ablationReportar como inadecuado




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Head and Face Medicine

, 4:11

First Online: 02 July 2008Received: 27 February 2008Accepted: 02 July 2008

Abstract

ObjectivesNumerous medical and surgical therapies have been utilized to treat the symptoms of trigeminal neuralgia TN. This retrospective study compares patients undergoing either microvascular decompression or balloon ablation of the trigeminal ganglion and determines which produces the best long-term outcomes.

MethodsA 10-year retrospective chart review was performed on patients who underwent microvascular decompression MVD or percutaneous balloon ablation BA surgery for TN. Demographic data, intraoperative variables, length of hospitalization and symptom improvement were assessed along with complications and recurrences of symptoms after surgery. Appropriate statistical comparisons were utilized to assess differences between the two surgical techniques.

ResultsMVD patients were younger but were otherwise similar to BA patients. Intraoperatively, twice as many BA patients developed bradycardia compared to MVD patients. 75% of BA patients with bradycardia had an improvement of symptoms. Hospital stay was shorter in BA patients but overall improvement of symptoms was better with MVD. Postoperative complication rates were similar 21% vs 26% between the BA and MVD groups.

DiscussionMVD produced better overall outcomes compared to BA and may be the procedure of choice for surgery to treat TN.

List of abbreviationsASAAmerican Society of Anesthesiologist

BABalloon Ablation

CSFCerebrospinal Fluid

MSMultiple Sclerosis

MVDMicrovascular Decompression

OROperating Room

TDRTrigeminal Depressor Response

TNTrigeminal Neuralgia.

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Autor: W. Scott Jellish - William Benedict - Kevin Owen - Douglas Anderson - Elaine Fluder - John F. Shea

Fuente: https://link.springer.com/



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