How I do it: sling transposition technique with biopatch and aneurysm clip for hemifacial spasm

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-09-30 DOI:10.1007/s00701-025-06634-0

Sergio Corvino, Vincenzo Seneca, Giorgio Iaconetta, Giuseppe Catapano

引用次数: 0

Abstract

Background

Microvascular decompression (MVD) represents the only definitive and non-ablative treatment for hemifacial spasm (HS). Teflon is the most used interposing material because considered inert; nevertheless, it is not free from complications.

Method

We discuss and illustrate our method to resolve the neurovascular conflict accounting for HS through a sling transposition technique using aneurysm clip and biopatch in carefully selected cases.

Conclusion

Several MVD procedures, including interposing and transposing techniques, have been proposed for HS, mainly selected according to surgeon’s preference. We consider the described technique a definitive treatment, safe, not associated to pain recurrence and without needing revision surgery.

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我怎么做：吊带移位技术与生物贴片和动脉瘤夹治疗面肌痉挛。

背景：微血管减压（MVD）是治疗面肌痉挛（HS）唯一确定的非消融治疗方法。聚四氟乙烯是最常用的插入材料，因为被认为是惰性的；然而，它并非没有并发症。方法：我们在精心挑选的病例中讨论并说明我们的方法，通过动脉瘤夹和生物补片的吊索转位技术来解决造成HS的神经血管冲突。结论：目前已有几种MVD手术，包括介入和转位技术，主要根据术者的喜好进行选择。我们认为所描述的技术是一种明确的治疗方法，安全，与疼痛复发无关，不需要翻修手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.