我的手术方法：原发性面肌痉挛微血管减压术中的联合嵌入-转位技术
How I do it: combined interposition-transposition technique for microvascular decompression in primary hemifacial spasm.
作者信息
Tengattini Francesco, Calbucci Fabio, Borghesi Ignazio, Draghi Riccardo
机构信息
Department of Medical and Surgical Specialties, Division of Neurosurgery, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Department of Neurosurgery, Maria Cecilia Hospital, GVM Care&Research, Cotignola, Italy.
出版信息
Acta Neurochir (Wien). 2025 Mar 18;167(1):80. doi: 10.1007/s00701-025-06472-0.
BACKGROUND
Two surgical microvascular decompression techniques to treat primary hemifacial spasm (HFS) are described in literature. The "interposition" uses different materials as "spacers" while the "transposition" consists in suturing the offending vessel to the petrous bone dura mater. In the literature is described a transposition surgery adopting self-adhesive materials reporting promising results.
METHOD
We describe a combination of these two techniques using autologous muscle and Tachosil. The step-by-step surgical principles are described in the article and clarified in a video.
CONCLUSION
This procedure is effective to cure the HFS especially in case of large arteries when interposition only is insufficient.
背景
文献中描述了两种用于治疗原发性面肌痉挛（HFS）的外科微血管减压技术。“插入法”使用不同材料作为“间隔物”，而“转位法”则是将肇事血管缝合至岩骨硬脑膜。文献中描述了一种采用自粘材料的转位手术，报告显示效果良好。
方法
我们描述了一种结合这两种技术的方法，使用自体肌肉和速即纱。本文详细介绍了逐步的手术原则，并在一段视频中进行了阐释。
结论
该手术方法对于治愈面肌痉挛有效，尤其是在大动脉情况下，仅采用插入法不足以解决问题时。
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