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Neurol. Med. Chir. (Tokyo) · Nov 2017
Case ReportsApplication of Ion-beam Implanted Expanded Polytetrafluoroethylene to Microvascular Decompression and the Surgical Outcome.
- Koichi Kato, Hiroshi Ujiie, Hiroshi Nakano, Shunsuke Nomura, Masanori Nakagawa, Takashi Higa, Shigeru Kadoyama, and Akira Teramoto.
- Department of Neurosurgery, Tokyo Rosai Hospital.
- Neurol. Med. Chir. (Tokyo). 2017 Nov 15; 57 (11): 601-606.
AbstractAccurate and long-term transposition of offending vessels is required in microvascular decompression (MVD) for the treatment of hemifacial spasm (HFS) and trigeminal neuralgia (TN). We created ion-beam implanted of an expanded-polytetrafluoroethylene (i-ePTFE) surface to transpose offending vessels in MVD. In 13 patients with MVD, we concealed and transposed offending vessels with tape-shaped i-ePTFE, and relieved facial and trigeminal nerve compression by attaching the i-ePTFE to the dura with fibrin glue. After surgery, none of the patients reported further symptoms or experienced recurrence of symptoms up to 12 months post-surgery. Favorable surgical outcomes are obtainable, since i-ePTFE has high tissue affinity and is easy to manipulate, even under a narrow and deep operative field. Our results suggested that i-ePTFE is very useful for transposition in MVD.
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