Clinical application of endoscope combined with microscope for the microvascular decompression in hemifacial spasm
10.3760/cma.j.issn.1673-0860.2019.04.006
- VernacularTitle: 双镜联合在治疗面肌痉挛微血管减压术中的临床应用
- Author:
Yuhui DENG
1
;
Jie YANG
1
;
Yongchuan CHAI
1
;
Weidong ZHU
1
;
Hao WU
1
;
Zhaoyan WANG
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Ninth People′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Jiaotong University Ear Institute, Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai 200011, China
- Publication Type:Journal Article
- Keywords:
Endoscopic ear surgery;
Muscle spasticity;
Facial muscles;
Blood vessels;
Decompression surgical
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(4):267-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness and safety of the endoscope combined with microscope for the microvascular decompression in hemifacial spasm.
Methods:A total of 26 patients underwent endoscope combined with microscopic facial nerve microvascular decompression through retrolabyrinthine approach from January 2013 to December 2016 were retrospectively reviewed in Ear Institute, Shanghai Jiaotong University School of Medicine. Among them, 9 were male and 17 were female, with a mean age of (51.9±11.4) years;15 cases of left side and 11 of right side patients were followed up for 1-3 years. The pre-and post-operative Cohen Classification was used for hemifacial spasm, House-Brackmann Grade for facial nerve function, hearing level and complication rates were reviewed. SPSS 19.0 software was used to analyze the data.
Results:All 26 patients were operated successfully. No recurrence was seen during 1-3 year follow-up. Post-operative Cohen Grade were as follows: 25 cases with Cohen Grade I and 1 case with Cohen Grade II. The difference in Cohen grade between pre-and post-operative was statistically significant (Z=-4.87, P<0.01). Post-operative facial nerve function was satisfactory in all patients (House-Brackmann Grade I-II in all patients). No hearing loss was observed. No facial paralysis and other lower cranial nerve dysfunction were observed. No postoperative complications such as cerebrospinal fluid leakage occurred.
Conclusions:Using an angled endoscope combined with microscope in microvascular decompression in hemifacial spasmis is safe and effective.
