Comparison of endoscope, exoscope, and microscope visualization during microvascular decompression for trigeminal neuralgia: a single-center experience of 135 surgeries

Clinical outcomes were equivalent among all visualization techniques. Surgical time was shorter with the endoscope. The endoscope and exoscope were associated with fewer postoperative complications than the microscope. The endoscope and exoscope identified ≥ 2 compressive vessels in 9%-13% more cases than the microscope, and an absence of vascular compression in 7%-9% fewer cases.

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Publication Details

Journal
Neurosurgical FOCUS
Published
2025-09-01
DOI
https://doi.org/10.3171/2025.6.focus25419
Citations
2
Primary Topic
Trigeminal Neuralgia and Treatments
Type
article
Field-Weighted Citation Impact
2.94
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article

Comparison of endoscope, exoscope, and microscope visualization during microvascular decompression for trigeminal neuralgia: a single-center experience of 135 surgeries

Caitlin Barrett, Bhavika Gupta, Alexander Kwong-Tak Yu, Dallas E. Kramer et al.
2 citations
Neurosurgical FOCUS
Trigeminal Neuralgia and Treatments
2.94
article

Comparison of endoscope, exoscope, and microscope visualization during microvascular decompression for trigeminal neuralgia: a single-center experience of 135 surgeries

Caitlin Barrett, Bhavika Gupta, Alexander Kwong-Tak Yu, Dallas E. Kramer, Jose Sandoval-Consuegra, Seung Won Jeong, Rocco Dabecco, Hae‐Dong Jho, Jenna Li
article en
2 citations

Abstract

Clinical outcomes were equivalent among all visualization techniques. Surgical time was shorter with the endoscope. The endoscope and exoscope were associated with fewer postoperative complications than the microscope. The endoscope and exoscope identified ≥ 2 compressive vessels in 9%-13% more cases than the microscope, and an absence of vascular compression in 7%-9% fewer cases.

Neurosurgical FOCUSVol. 59(3)
Allegheny Health Network (US), Allegheny-Singer Research Institute (US), Cleveland Clinic Florida (US), Drexel University (US)
Openalex Percentile: Top 8%
Trigeminal Neuralgia and Treatments
2.94
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