我是怎么做的：联合介入-转位技术用于原发性面肌痉挛微血管减压

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY Acta Neurochirurgica Pub Date : 2025-03-18 DOI:10.1007/s00701-025-06472-0

Francesco Tengattini, Fabio Calbucci, Ignazio Borghesi, Riccardo Draghi

{"title":"我是怎么做的：联合介入-转位技术用于原发性面肌痉挛微血管减压","authors":"Francesco Tengattini, Fabio Calbucci, Ignazio Borghesi, Riccardo Draghi","doi":"10.1007/s00701-025-06472-0","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>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.</p><h3>Method</h3><p>We describe a combination of these two techniques using autologous muscle and Tachosil<sup>®</sup>. The step-by-step surgical principles are described in the article and clarified in a video.</p><h3>Conclusion</h3><p>This procedure is effective to cure the HFS especially in case of large arteries when interposition only is insufficient.</p></div>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"167 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00701-025-06472-0.pdf","citationCount":"0","resultStr":"{\"title\":\"How I do it: combined interposition-transposition technique for microvascular decompression in primary hemifacial spasm\",\"authors\":\"Francesco Tengattini, Fabio Calbucci, Ignazio Borghesi, Riccardo Draghi\",\"doi\":\"10.1007/s00701-025-06472-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>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.</p><h3>Method</h3><p>We describe a combination of these two techniques using autologous muscle and Tachosil<sup>®</sup>. The step-by-step surgical principles are described in the article and clarified in a video.</p><h3>Conclusion</h3><p>This procedure is effective to cure the HFS especially in case of large arteries when interposition only is insufficient.</p></div>\",\"PeriodicalId\":7370,\"journal\":{\"name\":\"Acta Neurochirurgica\",\"volume\":\"167 1\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-03-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://link.springer.com/content/pdf/10.1007/s00701-025-06472-0.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Neurochirurgica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00701-025-06472-0\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00701-025-06472-0","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景文献中描述了两种治疗原发性半面痉挛（HFS）的手术微血管减压技术。穿插 "术使用不同的材料作为 "间隔物"，而 "转位 "术则是将有问题的血管缝合到耻骨硬脑膜上。我们介绍了使用自体肌肉和 Tachosil® 将这两种技术相结合的方法。文章中描述了手术的步骤原理，并通过视频进行了说明。结论该手术能有效治愈 HFS，尤其是在仅使用插管术不足以治愈大动脉的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

How I do it: combined interposition-transposition technique for microvascular decompression in primary hemifacial spasm

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.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.