Lateral basal approach with a supine, no-retractor method for microvascular decompression for hemifacial spasm

Acta neurochirurgica
Katsuyoshi ShimizuTohoru Mizutani

Abstract

We describe the details of our unique surgical procedures for microvascular decompression for hemifacial spasm. A patient is just laid supine, skipping the complicated preparation for the lateral or park-bench position. The subfloccular approach from a small cranial window situated on the more lateral and basal side of the occipital cranium enables the surgeon to reach all the segments of the facial nerve root without cerebellar retraction by a spatula. We believe this approach is ideal for the safe and precise decompression of any part of the facial nerve root.

References

Jul 21, 1999·Journal of Neurosurgery·M R McLaughlinD K Resnick
Aug 17, 2002·Neurosurgery·Dirk De RidderLeo De Ridder
Nov 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ming Zhang, Antonio S J Lee
Sep 2, 2008·Journal of Neurosurgery·Mauricio Campos-Benitez, Anthony M Kaufmann

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