Curative effect of encephalo-superficial temporal artery-superficial temporal fascia flap-synangiosis on Moyamoya disease (report of 31 cases)
ZHANG Deng-wen
DENG Jian-ping
ZHANG Tao
CHEN Hu
ZHAO Zhen-wei
Abstract：Objective To evaluate the safety of encephalo-superficial temporal artery (ATA)-superficial temporal fascia flap (STF)-synangiosis and its curative effect on the patients with Momoyaya disease. Method The clinical data of 31 patients with Moyamoya disease, who underwent encephalo-STA-STF-synangiosis from 2005 to 2014, were analyzed retrospectively, including patients' symptoms and signs, angiographic examination, operative procedure and complications, and prognoses. Results Thirty-six encephalo-STA-STF-synangioses were performed in 31 patients with Momoyaya disease, who were followed up from 6 to 59 months (mean, 20 months). The rate of good prognosis was 83.9%(26/31). Twenty-two patients were followed up with DSA from 6 to 45 months (mean, 17 months), and the rate of good-revascularization was 54.5% (12/22). There were postoperative complications including the cerebral infarct (2 cases), subdural hematomas (2 cases) and local scalp ischemia (2 cases) in 6 patients, who had not permanent neurological deficit. There was hair growth-retardation in 1 patient. Conclusion The present results suggest that encehalo-STA-STF-synangiosis is a safe and effective method to treat Momoyaya disease.
Keywords：Moyamoya diseaseEncephalo-STA-STF-synangiosisPrognosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 326-328 )