Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia

ObjectiveThis study aimed to investigate the clinical efficacy of a balloon compression day-surgery operation under the guidance of spiral computed tomography (CT) three-dimensional (3D) reconstruction for the treatment of trigeminal neuralgia.MethodsThe clinical efficacy and related indexes of 380...

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Main Authors: Bing Xu, Zi-pu Jia, Hao Ren, Lan Meng, Ying Shen, Tao Wang, Fang Luo, Rui Lv
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.923225/full
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author Bing Xu
Zi-pu Jia
Hao Ren
Lan Meng
Ying Shen
Tao Wang
Fang Luo
Rui Lv
author_facet Bing Xu
Zi-pu Jia
Hao Ren
Lan Meng
Ying Shen
Tao Wang
Fang Luo
Rui Lv
author_sort Bing Xu
collection DOAJ
description ObjectiveThis study aimed to investigate the clinical efficacy of a balloon compression day-surgery operation under the guidance of spiral computed tomography (CT) three-dimensional (3D) reconstruction for the treatment of trigeminal neuralgia.MethodsThe clinical efficacy and related indexes of 380 patients with trigeminal neuralgia treated by a spiral CT-guided balloon compression day-surgery operation in the pain department of Beijing TianTan Hospital, from October 2017 to March 2021, were retrospectively analyzed.ResultsFive patients failed due to foramen ovale puncture or in placing the balloon; two patients had ineffective results after the operation and re-entered the hospital for secondary balloon compression. The initial effective rate of the operation in the 380 patients was 98.16%. All patients were discharged on the day of the operation, the average operation time was 26.46 ± 12.15 min, and the average interval from the completion of the operation to discharge was 2.67 ± 0.95 h. During the follow-up period (1–41 months), 12 patients had pain recurrence, and a Kaplan–Meier analysis revealed that the cumulative pain-free recurrence survival rate at 41 months after the operation was 80.64%. No complications related to foramen ovale puncture occurred.ConclusionThe spiral CT-guided balloon compression day-surgery operation is safe, effective, and worthy of clinical promotion.
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spelling doaj.art-1b312c93e258449c9e4a693cb789a8362022-12-22T02:48:10ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-07-011310.3389/fneur.2022.923225923225Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal NeuralgiaBing Xu0Zi-pu Jia1Hao Ren2Lan Meng3Ying Shen4Tao Wang5Fang Luo6Rui Lv7Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Pain, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Pain, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Pain, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Pain, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaObjectiveThis study aimed to investigate the clinical efficacy of a balloon compression day-surgery operation under the guidance of spiral computed tomography (CT) three-dimensional (3D) reconstruction for the treatment of trigeminal neuralgia.MethodsThe clinical efficacy and related indexes of 380 patients with trigeminal neuralgia treated by a spiral CT-guided balloon compression day-surgery operation in the pain department of Beijing TianTan Hospital, from October 2017 to March 2021, were retrospectively analyzed.ResultsFive patients failed due to foramen ovale puncture or in placing the balloon; two patients had ineffective results after the operation and re-entered the hospital for secondary balloon compression. The initial effective rate of the operation in the 380 patients was 98.16%. All patients were discharged on the day of the operation, the average operation time was 26.46 ± 12.15 min, and the average interval from the completion of the operation to discharge was 2.67 ± 0.95 h. During the follow-up period (1–41 months), 12 patients had pain recurrence, and a Kaplan–Meier analysis revealed that the cumulative pain-free recurrence survival rate at 41 months after the operation was 80.64%. No complications related to foramen ovale puncture occurred.ConclusionThe spiral CT-guided balloon compression day-surgery operation is safe, effective, and worthy of clinical promotion.https://www.frontiersin.org/articles/10.3389/fneur.2022.923225/fulltrigeminal neuralgiaday-surgeryefficacyballoon compressionradiology
spellingShingle Bing Xu
Zi-pu Jia
Hao Ren
Lan Meng
Ying Shen
Tao Wang
Fang Luo
Rui Lv
Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia
Frontiers in Neurology
trigeminal neuralgia
day-surgery
efficacy
balloon compression
radiology
title Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia
title_full Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia
title_fullStr Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia
title_full_unstemmed Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia
title_short Clinical Efficacy of a Spiral CT-Guided Balloon Compression Day-Surgery Operation for the Treatment of Trigeminal Neuralgia
title_sort clinical efficacy of a spiral ct guided balloon compression day surgery operation for the treatment of trigeminal neuralgia
topic trigeminal neuralgia
day-surgery
efficacy
balloon compression
radiology
url https://www.frontiersin.org/articles/10.3389/fneur.2022.923225/full
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