Comparison between the endoscope assisted surgery and traditional microvascular decompression for the treatment of hemifacial spasm
He Yajie
Sun Miao
Guan Yong
Abstract：Objective To evaluate therapeutic effect of the endoscope-assisted surgery and traditional microvascular decompression on hemifacial spasm. Methods The clinical data of 175 patients with hemifacial spasm were analyzed retrospectively. There were 96 patients in microscopy group and 79 patients in endoscopy group. Results In microscopy group, the symptoms completely disappeared in 83 cases (86.45%), significantly relieved in 4 (4.16%), no changed in 9 (9.37%) and had recurrence in 6 (6.45%). In endoscopy group, the symptoms completely disappeared in 76 cases (96.2%), significantly relieved in 2 (2.53%), no changed in 1 and no recurrence. The complications rate was 21.8% and 17.7% in microscopy group and endoscopy group respectively. The results indicate that the symptom relief rate and recurrence rate were significantly different in the two groups (P <0.05), while the complication rate showed no significant difference (P >0.05). Conclusions Endoscopy-assisted surgery can increase the rate of symptom relief significantly with similar rate of complication in comparison with traditional microvascular decompression.
Keywords：hemifacial spasmmicrovascular decompressionneuroendoscopy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 446-448 )