Scholarlink

Background <p>Two surgical microvascular decompression techniques to treat primary hemifacial spasm (HFS) are described in literature. The “interposition” uses different materials as “spacers” while the “transposition” consists in suturing the offending vessel to the petrous bone dura mater. In the literature is described a transposition surgery adopting self-adhesive materials reporting promising results.</p> Method <p>We describe a combination of these two techniques using autologous muscle and Tachosil<sup>®</sup>. The step-by-step surgical principles are described in the article and clarified in a video.</p> Conclusion <p>This procedure is effective to cure the HFS especially in case of large arteries when interposition only is insufficient.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

How I do it: combined interposition-transposition technique for microvascular decompression in primary hemifacial spasm

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月18日

查看全文
  • Francesco Tengattini,
  • Fabio Calbucci,
  • Ignazio Borghesi,
  • Riccardo Draghi

摘要

Background

Two surgical microvascular decompression techniques to treat primary hemifacial spasm (HFS) are described in literature. The “interposition” uses different materials as “spacers” while the “transposition” consists in suturing the offending vessel to the petrous bone dura mater. In the literature is described a transposition surgery adopting self-adhesive materials reporting promising results.

Method

We describe a combination of these two techniques using autologous muscle and Tachosil®. The step-by-step surgical principles are described in the article and clarified in a video.

Conclusion

This procedure is effective to cure the HFS especially in case of large arteries when interposition only is insufficient.