caa a22 4500 445329092 CHVBK 20180317142731.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s10143-011-0310-0 doi (NATIONALLICENCE)springer-10.1007/s10143-011-0310-0 Stitched sling retraction technique for microvascular decompression: procedures and techniques based on an anatomical viewpoint [Elektronische Daten] [Jun Masuoka, Toshio Matsushima, Masatou Kawashima, Yukiko Nakahara, Takeshi Funaki, Toshihiro Mineta] The success of microvascular decompression (MVD) depends on the permanent and complete transposition of the offending vessels. This paper describes the stitched sling retraction techniques for treating trigeminal neuralgia (TN), hemifacial spasm (HFS), and glossopharyngeal neuralgia (GPN), focusing on the stitching point for slinging the offending artery in the appropriate direction. Between January 2007 and March 2009, 28 patients with TN, 5 patients with HFS, and 3 patients with GPN underwent MVD with a sling retraction technique. In cases of TN, MVD was performed using the infratentorial lateral supracerebellar approach, and the offending superior cerebellar artery was superomedially transposed with a sling stitched to the tentorium cerebelli. In cases of HFS, MVD was performed using the lateral suboccipital infrafloccular approach, and the offending vertebral artery was superolaterally transposed with a sling stitched to the petrous dura. In cases of GPN, MVD was performed using the transcondylar fossa approach, in which the posterior inferior cerebellar artery was inferolaterally mobilized with a sling secured to the jugular tubercle. No patient suffered recurrence in the follow-up period. For the sling retraction technique to be performed successfully, it is important for a stitch to be placed at a suitable site to sling the offending vessel in the intended direction. An appropriate surgical approach must be used to obtain a sufficient operative field for performing the stitching procedures safely. Springer-Verlag, 2011 Microvascular decompression nationallicence Surgical technique nationallicence Trigeminal neuralgia nationallicence Hemifacial spasm nationallicence Glossopharyngeal neuralgia nationallicence Sling retraction nationallicence Masuoka Jun Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut Matsushima Toshio Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut Kawashima Masatou Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut Nakahara Yukiko Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut Funaki Takeshi Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut Mineta Toshihiro Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut Neurosurgical Review Springer-Verlag 34/3(2011-07-01), 373-380 0344-5607 34:3<373 2011 34 10143 https://doi.org/10.1007/s10143-011-0310-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10143-011-0310-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Masuoka Jun Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut NATIONALLICENCE 700 1- Matsushima Toshio Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut NATIONALLICENCE 700 1- Kawashima Masatou Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut NATIONALLICENCE 700 1- Nakahara Yukiko Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut NATIONALLICENCE 700 1- Funaki Takeshi Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut NATIONALLICENCE 700 1- Mineta Toshihiro Department of Neurosurgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, 849-8501, Saga, Japan aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 34/3(2011-07-01), 373-380 0344-5607 34:3<373 2011 34 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer