Analysis of Endoscope-Assisted Retrosigmoid Approach versus Modified Transjugular Approach for Microvascular Decompression of the Facial Nerve: A Comparative Cadaveric Study
Despite the greater degree of freedom with MTA, visualizing and manipulating the facial nerve at the root exit zone was comparable between both approaches, with the use of angled endoscopy further improving visualization and accessibility. As such, the endoscope-assisted RA, with its smaller exposure and soft-tissue disruption, is a viable approach for microvascular decompression for hemifacial spasm.
Authors
- Alex Corlin
- Regin Jay Mallari (ORCID: https://orcid.org/0000-0003-2727-3781)
- Gregory P. Leković (ORCID: https://orcid.org/0000-0003-3777-6649)
- Garni Barkhoudarian (ORCID: https://orcid.org/0000-0002-6615-7428)
- Kayla C. Lanker (ORCID: https://orcid.org/0009-0001-6071-4887)
- Fan Zhao
- Mehrdad Pahlevani (ORCID: https://orcid.org/0009-0001-4275-261X)
- Felipe Sfeir
Institutions
- University of California, Los Angeles (US)
- Saint John's Health Center (US)
- Neuroscience Institute (IT)
- Pacific Heart Institute (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-02-28
- DOI
- https://doi.org/10.1016/j.wneu.2025.123714
- Citations
- 1
- Primary Topic
- Trigeminal Neuralgia and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 1.47