Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression?
ObjectiveDemonstrate the superiority of percutaneous balloon compression (PBC) in the treatment of primary trigeminal neuralgia (PTN) compared to trigeminal microvascular decompression (MVD).MethodsClinical data, including immediate, short-term, and long-term pain relief, complications, duration of...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1517064/full |
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| author | Yuwei Shi Wenhu Liu Shaopeng Peng Jianxiong Liu |
| author_facet | Yuwei Shi Wenhu Liu Shaopeng Peng Jianxiong Liu |
| author_sort | Yuwei Shi |
| collection | DOAJ |
| description | ObjectiveDemonstrate the superiority of percutaneous balloon compression (PBC) in the treatment of primary trigeminal neuralgia (PTN) compared to trigeminal microvascular decompression (MVD).MethodsClinical data, including immediate, short-term, and long-term pain relief, complications, duration of the operation, and postoperative hospital stay, were retrospectively analyzed for 114 patients diagnosed with PTN who were treated with either PBC or MVD between January 2018 and December 2021.ResultsThere were no statistically significant differences observed in the pain relief rates between the two surgical methods at 24 h postoperatively (MVD: 91.07%, PBC: 96.55%), at 6 months postoperatively (MVD: 87.5%, PBC: 94.8%), at 1 year postoperatively (MVD: 83.90%, PBC: 94.80%), and at 2 years postoperatively (MVD: 78.60%, PBC: 72.40%). However, the incidence of meningitis following MVD was significantly higher than that following PBC (P < 0.005). Additionally, both the duration of the operation and the length of the postoperative hospital stay in the MVD group were longer than those in the PBC group (P < 0.005).ConclusionPBC demonstrates efficacy comparable to MVD while offering a simpler procedure, improved safety, and a shorter postoperative hospital stay. Therefore, it may serve as a viable alternative to MVD and could become the preferred surgical approach for treating PTN in the future. |
| format | Article |
| id | doaj-art-97481965677245838f5657b5309e6299 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-97481965677245838f5657b5309e62992025-01-07T06:41:37ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011110.3389/fsurg.2024.15170641517064Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression?Yuwei Shi0Wenhu Liu1Shaopeng Peng2Jianxiong Liu3First Clinical Medical School, Gansu University of Chinese Medicine, Lanzhou, Gansu, ChinaDepartment of Neurosurgical Intensive Care Unit, Gansu Provincial Hospital, Lanzhou, Gansu, ChinaDepartment of Neurosurgery, Ward 2. Gansu Provincial Hospital, Lanzhou, Gansu, ChinaDepartment of Neurosurgery, Ward 2. Gansu Provincial Hospital, Lanzhou, Gansu, ChinaObjectiveDemonstrate the superiority of percutaneous balloon compression (PBC) in the treatment of primary trigeminal neuralgia (PTN) compared to trigeminal microvascular decompression (MVD).MethodsClinical data, including immediate, short-term, and long-term pain relief, complications, duration of the operation, and postoperative hospital stay, were retrospectively analyzed for 114 patients diagnosed with PTN who were treated with either PBC or MVD between January 2018 and December 2021.ResultsThere were no statistically significant differences observed in the pain relief rates between the two surgical methods at 24 h postoperatively (MVD: 91.07%, PBC: 96.55%), at 6 months postoperatively (MVD: 87.5%, PBC: 94.8%), at 1 year postoperatively (MVD: 83.90%, PBC: 94.80%), and at 2 years postoperatively (MVD: 78.60%, PBC: 72.40%). However, the incidence of meningitis following MVD was significantly higher than that following PBC (P < 0.005). Additionally, both the duration of the operation and the length of the postoperative hospital stay in the MVD group were longer than those in the PBC group (P < 0.005).ConclusionPBC demonstrates efficacy comparable to MVD while offering a simpler procedure, improved safety, and a shorter postoperative hospital stay. Therefore, it may serve as a viable alternative to MVD and could become the preferred surgical approach for treating PTN in the future.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1517064/fullprimary trigeminal neuralgia (PTN)percutaneous balloon compression (PBC)trigeminal microvascular decompression (MVD)efficacy & safetyoperation durationpostoperative hospital stay |
| spellingShingle | Yuwei Shi Wenhu Liu Shaopeng Peng Jianxiong Liu Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression? Frontiers in Surgery primary trigeminal neuralgia (PTN) percutaneous balloon compression (PBC) trigeminal microvascular decompression (MVD) efficacy & safety operation duration postoperative hospital stay |
| title | Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression? |
| title_full | Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression? |
| title_fullStr | Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression? |
| title_full_unstemmed | Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression? |
| title_short | Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression? |
| title_sort | percutaneous ballon compression a better choice for primary trigeminal neuralgia compared to microvascular decompression |
| topic | primary trigeminal neuralgia (PTN) percutaneous balloon compression (PBC) trigeminal microvascular decompression (MVD) efficacy & safety operation duration postoperative hospital stay |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1517064/full |
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