Causes of ineffectiveness of microvascular decompression for hemifacial spasm.
- Author:
Yue YUAN
1
;
Li ZHANG
;
Si-xun ZHANG
;
Yan-bing YU
;
Guo-qiang CHEN
;
Kui-ming ZHAO
;
Jing GUO
;
Huan-cong ZUO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Decompression, Surgical; methods; Female; Follow-Up Studies; Hemifacial Spasm; surgery; Humans; Male; Medical Futility; Microsurgery; methods; Middle Aged; Reoperation; Treatment Outcome; Vascular Surgical Procedures; methods; Young Adult
- From: Chinese Journal of Surgery 2003;41(5):362-364
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study causes of ineffectiveness of microvascular decompression (MVD) in treatment of hemifacial spasm (HFS).
METHODSReoperative MVD was performed in 23 HFS patients with previous ineffective MVD. In the patients, the main causes of ineffectiveness included misjudgment of compressing vessels (7 patients), improper insertion of decompressing grafts (9), improper selection of grafts (5) and small grafts (2).
RESULTSSymptoms of HFS disappeared immediately after the second MVD in 21 patients and delayed in 2 patients (after 2 weeks, 6 weeks). No recurrence of HFS was noted during the follow-up period of 1.0 - 6.0 years (mean 3.4 years).
CONCLUSIONSMVD is an effective microsurgical method for treating HFS. Accurate judgement of compressing vessels and proper decompression are the key to surgical effectiveness.
