Management of intraneural vessels during microvascular decompression surgery for XXXX .

@entity1 @entity1183 @entity4254 @entity260 @entity76 @entity158
OBJECTIVE: To present the authors' experience in surgical treatment of @entity1 with @entity4254 ( @entity4254 ) with intraneural vessels. METHODS: The study included three @entity1 with @entity4254 and an intraneural artery ( @entity76 ) and eight @entity1 with @entity4254 and an intraneural vein. The @entity1 underwent microvascular decompression (MVD) procedures. The intraneural arteries were wrapped by a thin piece of Teflon sponge. The intraneural veins all were coagulated and divided. Clinical outcomes and @entity260 were analyzed. RESULTS: Eight @entity1 were free of @entity158 soon after surgery, achieving excellent outcomes; two @entity1 had good outcomes; and one @entity1 had a failed first operation but experienced @entity158 relief after reoperation, achieving an excellent outcome. Three @entity1 had postoperative @entity1183 because the trigeminal nerves were impaired owing to coagulation or mechanical injury. However, no dense @entity1183 or loss of corneal reflex occurred. CONCLUSIONS: If the intraneural vessel is an artery, it can be decompressed by wrapping techniques. Otherwise, intraneural veins should be coagulated and divided. Most @entity1 can achieve excellent or @entity158 relief with this approach; @entity1183 is uncommon.
