A few years ago, six years ago, no obvious incentive began to appear on the right side of the eye beating, paroxysmal, involuntary twitching
A few years ago, six years ago, no obvious incentive began to appear on the right side of the eye beating, paroxysmal, involuntary twitching, unable to control. At the beginning of the attack frequency is not high, several times a day. After the onset of frequent, often twitch, had medication treatment effect is not good, the patient for surgery to the hospital outpatient treatment.
Wie, female, 42 years old, Shaanxi Sanyuan County, because the right facial muscles twitched involuntarily repeatedly for 6 years, was admitted to hospital on January 2013.
The main clinical manifestations of patients: six years ago, no obvious incentive to start the right eye beating, paroxysmal, involuntary twitching, unable to control, twitch short, fast, after a few seconds to stop automatically. At the beginning of the attack frequency is not high, several times a day. After the onset of frequent, often twitch, and gradually involved the right angle. First eye corner. Used plaster (specific and unspecified), mild symptoms improved. Two years ago, Xijing Hospital in our school, and oral C Masi Bing, 1 / day, slight improvement in symptoms, but there is a lack of side effects such as fatigue, the patient is now seeking surgical treatment to our hospital clinic. With hemifacial spasm admitted in the hospital outpatient.
Because of the poor treatment effect of the patients, the hospital was scheduled for surgical treatment. Preoperative routine examination results are not abnormal, the patient has no contraindications to surgery, the hospital will be the operation of possible risks and complications, such as detailed communication to patients and their families, patients and their families understand and agree to surgical treatment. Patients underwent microvascular decompression of facial nerve in our hospital. On the risk of surgery, which is a lot of patients and their families are very concerned about the problem, the following is the patient Wei's operating experience records, can help you intuitively understand the risk of microvascular decompression.
Procedure of microvascular decompression of facial nerve (patient: Wei)
Patients with microvascular decompression surgery, operation time: 08:00 - 12:00. Intraoperative situation: general anesthesia satisfaction, patients take the right position, fixed on the frame, the conventional disinfection shop single. Left mastoid approach, incision length of about 6cm. Cut the scalp to the skin, and the muscle is separated from the muscle. A retractor, exposed surface of the skull.
Skull drilling 3 holes, rongeur bite skull 2.0cm*2.5cm size of bone flap, bone window size is about 3.5cm*3.5cm, pay attention to the protection of the transverse sinus and sigmoid sinus. "Ten" incision of the dura mater, the release of part of the cerebrospinal fluid, pulled back to the cerebellum, the separation of the left side of the exposed surface of the auditory nerve, see its roots have a small blood vessel ride, carefully separated, pad into small pieces of gasket. The operation area was strictly hemostatic, no active bleeding, suture dura mater, and repaired with artificial dura mater. Connecting piece fixed bone flap, subcutaneous indwelling drainage tube. Layered suture fascia, muscle, subcutaneous and skin. Sterile dressing.
The facial nerve microvascular decompression for hemifacial spasm is a risk?
According to the operation process of records, we can see that the microvascular decompression for hemifacial spasm is not only minimally invasive, the wound is small, and does not damage any facial nerve tissue, retain the integrity and function of the facial nerve, this point, security is very high, the risk is minimal. Since the Tangdu Hospital of The Fourth Military Medical University from the adoption of microvascular decompression for hemifacial spasm patients, there are countless this has been cured, and no case of sequelae, and no case of recurrence.
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