A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia

Abstract Objectives Radiofrequency thermocoagulation (RFT) is a type of Gasserian ganglion-level ablative intervention that is used for the treatment of trigeminal neuralgia. Guidance technologies are used to assist in the cannulation of the foramen ovale (FO) or foramen rotundum (FR) target. We con...

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Main Authors: Zhengming Wang, Xu Su, Yin Yu, Zhijun Wang, Kai Li, Yufei Gao, Yu Tian, Chao Du
Format: Article
Language:English
Published: BMC 2022-08-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-022-00758-0
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author Zhengming Wang
Xu Su
Yin Yu
Zhijun Wang
Kai Li
Yufei Gao
Yu Tian
Chao Du
author_facet Zhengming Wang
Xu Su
Yin Yu
Zhijun Wang
Kai Li
Yufei Gao
Yu Tian
Chao Du
author_sort Zhengming Wang
collection DOAJ
description Abstract Objectives Radiofrequency thermocoagulation (RFT) is a type of Gasserian ganglion-level ablative intervention that is used for the treatment of trigeminal neuralgia. Guidance technologies are used to assist in the cannulation of the foramen ovale (FO) or foramen rotundum (FR) target. We conducted a systematic review to assess the value of different guidance technologies for RFT. Methods We searched PubMed, Embase, the Cochrane database, Web of Science, and PROSPERO for studies published from January 2005 until December 2020. Randomized or nonrandomized comparative studies and nonrandomized studies without internal controls were included. The Cochrane Risk of Bias Tool and the nonrandomized studies of interventions-I tool were used to assess individual study characteristics and overall quality. Results Our query identified 765 publications, and we were able to analyze 11 studies on patients suffering from trigeminal neuralgia. Only one study involved randomized controlled trials, whereas the others featured nonrandomized designs, predominantly before-and-after comparisons. Most of them were observational studies. A total of 222 participants were included, with a median number (range) of 20 (3–53) participants. The objective response rate (ORR) of the one-puncture success rate of RFT using puncture guidance for trigeminal neuralgia was 92% [95% CI (0.79–1), P < 0.001]. Statistically significant differences were observed in the cannulation and operation times between the guided and manual puncture groups (P < 0.001). Conclusions RFT with puncture guidance technology has an absolute advantage in puncturing the foramen ovale or foramen rotundum.
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spelling doaj.art-011188418ead429ea6493d9c9fab6e562022-12-22T02:33:41ZengBMCEuropean Journal of Medical Research2047-783X2022-08-0127111010.1186/s40001-022-00758-0A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgiaZhengming Wang0Xu Su1Yin Yu2Zhijun Wang3Kai Li4Yufei Gao5Yu Tian6Chao Du7Department of Neurosurgery, The Third Hospital of Jilin University & China-Japan Union HospitalDepartment of Neurosurgery, The Third Hospital of Jilin University & China-Japan Union HospitalDepartment of Neurosurgery, The Third Hospital of Jilin University & China-Japan Union HospitalDepartment of Pediatric Surgery, The First Hospital of Jilin UniversityDepartment of Anesthesia, The Third Hospital of Jilin University & China-Japan Union HospitalDepartment of Neurosurgery, The Third Hospital of Jilin University & China-Japan Union HospitalDepartment of Neurosurgery, The Third Hospital of Jilin University & China-Japan Union HospitalDepartment of Neurosurgery, The Third Hospital of Jilin University & China-Japan Union HospitalAbstract Objectives Radiofrequency thermocoagulation (RFT) is a type of Gasserian ganglion-level ablative intervention that is used for the treatment of trigeminal neuralgia. Guidance technologies are used to assist in the cannulation of the foramen ovale (FO) or foramen rotundum (FR) target. We conducted a systematic review to assess the value of different guidance technologies for RFT. Methods We searched PubMed, Embase, the Cochrane database, Web of Science, and PROSPERO for studies published from January 2005 until December 2020. Randomized or nonrandomized comparative studies and nonrandomized studies without internal controls were included. The Cochrane Risk of Bias Tool and the nonrandomized studies of interventions-I tool were used to assess individual study characteristics and overall quality. Results Our query identified 765 publications, and we were able to analyze 11 studies on patients suffering from trigeminal neuralgia. Only one study involved randomized controlled trials, whereas the others featured nonrandomized designs, predominantly before-and-after comparisons. Most of them were observational studies. A total of 222 participants were included, with a median number (range) of 20 (3–53) participants. The objective response rate (ORR) of the one-puncture success rate of RFT using puncture guidance for trigeminal neuralgia was 92% [95% CI (0.79–1), P < 0.001]. Statistically significant differences were observed in the cannulation and operation times between the guided and manual puncture groups (P < 0.001). Conclusions RFT with puncture guidance technology has an absolute advantage in puncturing the foramen ovale or foramen rotundum.https://doi.org/10.1186/s40001-022-00758-0Trigeminal neuralgiaPuncture accuracyOne-puncture success rateRadiofrequency thermocoagulationGasserian GanglionAblative interventions
spellingShingle Zhengming Wang
Xu Su
Yin Yu
Zhijun Wang
Kai Li
Yufei Gao
Yu Tian
Chao Du
A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
European Journal of Medical Research
Trigeminal neuralgia
Puncture accuracy
One-puncture success rate
Radiofrequency thermocoagulation
Gasserian Ganglion
Ablative interventions
title A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
title_full A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
title_fullStr A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
title_full_unstemmed A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
title_short A review of literature and meta-analysis of one-puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
title_sort review of literature and meta analysis of one puncture success rate in radiofrequency thermocoagulation with different guidance techniques for trigeminal neuralgia
topic Trigeminal neuralgia
Puncture accuracy
One-puncture success rate
Radiofrequency thermocoagulation
Gasserian Ganglion
Ablative interventions
url https://doi.org/10.1186/s40001-022-00758-0
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