Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study
Abstract Objectives This study aimed to investigate the differences in the effectiveness of percutaneous radiofrequency thermocoagulation (PRT) and microvascular decompression (MVD) in treating glossopharyngeal neuralgia (GPN). Methods Medical records of patients were reviewed to investigate their b...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-023-03415-z |
| _version_ | 1797452150837608448 |
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| author | Zeyu Wu Yongming Zhao Fan Wu Yiyue Fan Ying Yang |
| author_facet | Zeyu Wu Yongming Zhao Fan Wu Yiyue Fan Ying Yang |
| author_sort | Zeyu Wu |
| collection | DOAJ |
| description | Abstract Objectives This study aimed to investigate the differences in the effectiveness of percutaneous radiofrequency thermocoagulation (PRT) and microvascular decompression (MVD) in treating glossopharyngeal neuralgia (GPN). Methods Medical records of patients were reviewed to investigate their baseline characteristics and immediate postoperative prognosis. Long-term outcomes of these patients were obtained through telephone interviews. Visual analog scale (VAS) and Pittsburgh sleep quality index (PSQI) scores at 1 day and 1, 4, 12, 24, and 48 weeks after surgery were compared between the MVD and PRT groups, in addition to complete pain relief rate, effective rate, adverse reactions, length of hospital stay, and economic indicators. Results The VAS and PSQI scores of the two groups at 1 day and 1, 4, 12, 24, and 48 weeks after surgery were significantly lower (P < 0.05) than those before surgery. At 48 weeks, the complete remission rate was significantly higher (P < 0.05) in the MVD group than in PRT group. No significant difference in adverse reactions was observed between the two groups. The length of hospital stay, operative time, and cost were significantly higher (P < 0.05) in the MVD group than in the PRT group. Conclusions Both PRT and MVD can significantly reduce patients’ degree of pain and improve their sleep quality. In the medium term, MVD is better than PRT in terms of the complete curative effect. In young patients with GPN, MVD is more often recommended than PRT; however, MVD is costlier than PRT. |
| first_indexed | 2024-03-09T15:04:37Z |
| format | Article |
| id | doaj.art-19bfe373676c4bb6a6329d3a2b61ebc5 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-03-09T15:04:37Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-19bfe373676c4bb6a6329d3a2b61ebc52023-11-26T13:42:32ZengBMCBMC Neurology1471-23772023-10-012311910.1186/s12883-023-03415-zPercutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical studyZeyu Wu0Yongming Zhao1Fan Wu2Yiyue Fan3Ying Yang4 Department of Pain,The Affiliated Nanchong Central Hospital of North Sichuan Medical College Department of Pain,The Affiliated Nanchong Central Hospital of North Sichuan Medical CollegeDepartment of Pharmacy, Sichuan Nanchong Mental Health center, The Second People’s Hospital of Nanchong Department of Pain,The Affiliated Nanchong Central Hospital of North Sichuan Medical College Department of Pain,The Affiliated Nanchong Central Hospital of North Sichuan Medical CollegeAbstract Objectives This study aimed to investigate the differences in the effectiveness of percutaneous radiofrequency thermocoagulation (PRT) and microvascular decompression (MVD) in treating glossopharyngeal neuralgia (GPN). Methods Medical records of patients were reviewed to investigate their baseline characteristics and immediate postoperative prognosis. Long-term outcomes of these patients were obtained through telephone interviews. Visual analog scale (VAS) and Pittsburgh sleep quality index (PSQI) scores at 1 day and 1, 4, 12, 24, and 48 weeks after surgery were compared between the MVD and PRT groups, in addition to complete pain relief rate, effective rate, adverse reactions, length of hospital stay, and economic indicators. Results The VAS and PSQI scores of the two groups at 1 day and 1, 4, 12, 24, and 48 weeks after surgery were significantly lower (P < 0.05) than those before surgery. At 48 weeks, the complete remission rate was significantly higher (P < 0.05) in the MVD group than in PRT group. No significant difference in adverse reactions was observed between the two groups. The length of hospital stay, operative time, and cost were significantly higher (P < 0.05) in the MVD group than in the PRT group. Conclusions Both PRT and MVD can significantly reduce patients’ degree of pain and improve their sleep quality. In the medium term, MVD is better than PRT in terms of the complete curative effect. In young patients with GPN, MVD is more often recommended than PRT; however, MVD is costlier than PRT.https://doi.org/10.1186/s12883-023-03415-zGlossopharyngeal neuralgiaPercutaneous radiofrequency thermocoagulationMicrovascular decompressionCurative effectPrognosis |
| spellingShingle | Zeyu Wu Yongming Zhao Fan Wu Yiyue Fan Ying Yang Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study BMC Neurology Glossopharyngeal neuralgia Percutaneous radiofrequency thermocoagulation Microvascular decompression Curative effect Prognosis |
| title | Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study |
| title_full | Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study |
| title_fullStr | Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study |
| title_full_unstemmed | Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study |
| title_short | Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study |
| title_sort | percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia a retrospective clinical study |
| topic | Glossopharyngeal neuralgia Percutaneous radiofrequency thermocoagulation Microvascular decompression Curative effect Prognosis |
| url | https://doi.org/10.1186/s12883-023-03415-z |
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