Liu James K, Shafiq Asif
Departments of Neurological Surgery and.
Otolaryngology-Head and Neck Surgery.
Neurosurg Focus Video. 2020 Oct 1;3(2):V5. doi: 10.3171/2020.7.FOCVID2032. eCollection 2020 Oct.
In this illustrative operative video, the authors demonstrate a Teflon bridge technique to achieve safe transposition of a large, tortuous ectatic basilar artery (BA) and anterior inferior cerebellar artery (AICA) complex to decompress the root entry zone (REZ) of the trigeminal nerve in a 61-year-old woman with refractory trigeminal neuralgia via an endoscopic-assisted retractorless microvascular decompression. Postoperatively, the patient experienced immediate facial pain relief without requiring further medications. The Teflon bridge technique can be a safe alternative to sling techniques when working in narrow surgical corridors between delicate nerves and vessels. The operative technique and surgical nuances are demonstrated. The video can be found here: https://youtu.be/hIHX7EvZc1c.
在这段演示手术视频中，作者展示了一种聚四氟乙烯桥接技术，通过内镜辅助无牵开器微血管减压术，将一名61岁患有顽固性三叉神经痛女性的粗大、迂曲扩张的基底动脉（BA）和小脑前下动脉（AICA）复合体安全地进行转位，以减压三叉神经的神经根入区（REZ）。术后，患者面部疼痛立即缓解，无需进一步药物治疗。当在精细神经和血管之间狭窄的手术通道中操作时，聚四氟乙烯桥接技术可以是吊带技术的一种安全替代方法。文中展示了手术技术和手术细节。视频可在此处查看：https://youtu.be/hIHX7EvZc1c 。
