Causes of ineffectiveness of microvascular decompression for hemifacial spasm / 中华外科杂志
Chinese Journal of Surgery
;
(12): 362-364, 2003.
Artículo
en Chino
| WPRIM
| ID: wpr-300031
ABSTRACT
<p><b>OBJECTIVE</b>To study causes of ineffectiveness of microvascular decompression (MVD) in treatment of hemifacial spasm (HFS).</p><p><b>METHODS</b>Reoperative 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).</p><p><b>RESULTS</b>Symptoms 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).</p><p><b>CONCLUSIONS</b>MVD is an effective microsurgical method for treating HFS. Accurate judgement of compressing vessels and proper decompression are the key to surgical effectiveness.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Reoperación
/
Cirugía General
/
Procedimientos Quirúrgicos Vasculares
/
Estudios de Seguimiento
/
Resultado del Tratamiento
/
Inutilidad Médica
/
Descompresión Quirúrgica
/
Espasmo Hemifacial
/
Métodos
/
Microcirugia
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2003
Tipo del documento:
Artículo
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