Effective Control of Postoperative Cerebrospinal Fluid Leakage by Modified Microvascular Decompression in Patients with Hemifacial Spasm.
Altern Ther Health Med
; 29(3): 43-47, 2023 Apr.
Article
em En
| MEDLINE
| ID: mdl-36881536
ABSTRACT
Objective:
This study aimed to compare the clinical outcomes of a modified microvascular decompression (MVD) with a traditional MVD in hemifacial spasm.Methods:
A tota1 of 120 patients with hemifacial spasm who received a modified MVD (modified MVD group) and 115 patients who received a traditional MVD (traditional MVD group) from January 2013 to March 2021 were retrospectively reviewed. The surgery efficiency rate, surgery time and postoperative complications in both groups were recorded and analyzed.Results:
There was no significant difference between the 2 groups regarding surgery efficiency rate (modified MVD group VS traditional MVD group 92.50% vs 92.17%, respectively; P = .925). The intracranial surgery time and postoperative complications rate in the modified MVD group were significantly lower than in the traditional MVD group (31.00 ± 1.78 min vs 48.00 ± 1.74 min, respectively; P < .05; 8.33% vs 20.87%; P = .006, respectively). There was no statistical difference between open skull time and close skull time between the 2 groups (modified MVD group vs traditional MVD group 38.50 ± 1.76 min vs 40.00 ± 1.78 min, respectively; P = .055; 38.50 ± 1.76 min vs 36.00 ± 1.78 min, respectively; P = .086).Conclusion:
The modified MVD for hemifacial spasm can achieve satisfactory clinical outcomes and reduce intracranial surgery time and postoperative complications.
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Base de dados:
MEDLINE
Assunto principal:
Espasmo Hemifacial
/
Cirurgia de Descompressão Microvascular
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article