AI Article Synopsis
- The article outlines the author's experiences with microvascular decompression for hemifacial spasm, detailing the importance of relocating compressing arteries affecting the facial nerve.
- It emphasizes the need to keep both the vessels and any prosthetics away from the nerve's root exit zone using a specific technique.
- The text also highlights the significance of preventing complications like hearing loss and spinal fluid buildup after surgery.
Article Abstract
This article describes the anatomical approach and operative points of microvascular decompression for hemifacial spasm based on the author's personal experience with 1,000 cases. As vascular compression of the facial nerve is often quite caudal, it is necessary to ensure that the compressing arteries in this area are moved. Neither the vessels nor the prosthesis used to move them should not touch the root exit zone of the nerve(vascular transposition nerve isolation technique). It should also be emphasized that every effort should be made to avoid complications such as hearing impairment and postoperative subcutaneous spinal fluid accumulation.
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| http://dx.doi.org/10.11477/mf.1436204573 | DOI Listing |
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