Comparison of Surgical Exposure and Outcomes Between the Subtonsillar and Infrafloccular Approaches in Microvascular Decompression for Hemifacial Spasm
The ST approach provides improved inferior access for vessel manipulation and facial nerve dissection while minimizing mastoid disruption in MVD for HFS. It represents a safe and effective alternative to the IF approach with reduced auditory morbidity.
Authors
- Yukihiro Goto (ORCID: https://orcid.org/0000-0001-8151-3999)
- Ryan Rhiveldi Keswani
- Sayyid Abdil Hakam Perkasa
- Shigeto Hatakenaka
- Abrar Arham
- Yasuaki Inoue (ORCID: https://orcid.org/0000-0003-1855-5891)
- Satoshi Ihara (ORCID: https://orcid.org/0000-0003-0665-7700)
- Mustaqim Prasetya
- J. YAMASHITA
- Riku Ishimaru
- Bryan De Liyis
- Takuro Inoue
- Ryo Oike
- Takashi Iimori
Institutions
- National Brain Centre (ID)
- Koga Hospital (JP)
- Nadogaya Hospital (JP)
Publication Details
- Journal
- Operative Neurosurgery
- Published
- 2026-03-26
- DOI
- https://doi.org/10.1227/ons.0000000000001983
- Primary Topic
- Trigeminal Neuralgia and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00