Safety and efficacy of percutaneous balloon compression assisted by a 3D printed personalized guide plate for patients with primary trigeminal neuralgia
ZHAN Wei-qiang
JIANG Shi-wei
SHOU Ji-xin
Abstract：Objective To investigate the feasibility,safety,and efficacy of 3D printing individualized guide plate assisted percutaneous balloon compression(PBC)for patients with primary trigeminal neuralgia(PTN).Methods Between January 2019 and June 2023,62 patients with PTN were prospectively collected and divided into an observation group(n=30)and a control group(n=32)according to the patient's preference.The 3D printing individualized puncture guide plate was prepared before surgery in the observation group,and the puncture angle and needle insertion site were assisted by the guide plate during surgery.The experience-based Hartel path for puncture was used during surgery in the control group.The surgical time,foramen ovale puncture time,number of repeated punctures and number of X-ray exposures were recorded during surgery.After surgery,the visual analog scale(VAS)score and complications(facial numbness,trismus,herpes zoster around the mouth,cerebrospinal fluid leakage,etc.)were recorded.Results The surgical time in the observation group(42 min;IQR:37～48 min)was significantly shorter than that(49.5 min;IQR:41.5～53 min)in the control group(P=0.003).The foramen ovale puncture time in the observation group(7.5 min;IQR:5～9 min)was significantly shorter than that(10.5 min;IQR:7～16 min)in the control group(P=0.004).The number of punctures in the observation group(2 times;IQR:2～3 times)was significantly reduced compared with that(3 times;IQR:2～4 times)in the control group(P=0.002).The number of X-ray exposures in the observation group(5 times;IQR:4～6 times)was significantly reduced compared with that(7 times;IQR:5～8 times)in the control group(P<0.001).The VAS scores in both groups were significantly lower after surtery than those before surgery(P<0.05),but there was no statistical difference between the two groups(P>0.05).There was no statistically significant difference in the incidence of procedure-related complications between the two groups(P>0.05).Conclusions Compared with traditional empirical puncture,3D printed individualized puncture guide plate can achieve the same therapeutic effect in PBC treatment of PTN,and significantly shorten the operation time,puncture time,and the number of punctures and X-ray exposures.
Keywords：Primary trigeminal neuralgiaPercutaneous balloon compression3D printed individualized puncture guide plate
Publication Date：2024-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 139-143,147 )