Microvascular decompression for glossopharyngeal neuralgia using the transcondylar fossa approach: long-term follow-up results

MVD for GPN using the combined trans-CF and unilateral trans-CMF approach achieved excellent outcomes with few complications. This technique offers several advantages: 1) wider exposure of the lower cerebellopontine angle, 2) reduced cerebellar retraction, 3) improved visualization for transposition of offending vessels, particularly a high-origin posterior inferior cerebellar artery, and 4) minimal manipulation of the lower cranial nerves. The selection of a suitable approach based on careful preoperative imaging and appropriate vessel transposition techniques is essential for achieving favorable long-term outcomes.