| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○カテゴリ (推奨): |
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| ○学究種別 (推奨): |
| ○組織 (推奨): |
| ○著者 (必須): | 1. | 永廣 信治
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| 2. | 溝渕 佳史
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| 3. | 中島 公平 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.脳·神経·精神科.脳神経外科])
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| 4. | 髙木 康志 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| ○題名 (必須): | □ | (英) A Novel Approach to Microvascular Decompression for Hemifacial Spasm: Method Description and Associated Outcome (日)
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| ○要約 (任意): | □ | (英) Microvascular decompression (MVD) is the only potential cure for hemifacial spasm (HFS). However, traditional techniques such as the interposition method may have limited effect in some cases. Alternative techniques have been proposed; however, they can be more complex or difficult to perform than the standard approach. To describe a safe decompression technique-the "shelter method"-which involves creating a shelter-like space around the facial nerve root exit zone and present associated outcomes. Medical records and intraoperative findings of 92 patients with HFS who underwent MVD using the shelter method between April 1997 and March 2017 were retrospectively reviewed. As a historical control group, we included 53 patients who had undergone MVD by the traditional interposition method before March 1989. The patients were divided into 3 subgroups according to the arteries involved and degree or direction of arterial compression to the seventh nerve. Patient outcomes were assessed as excellent, good, fair, and poor according to the MVD scoring system of the Japan Society for MVD Surgery. In the shelter method group, complete disappearance of HFS was achieved in 87 patients (94.6%). The curative rate of the shelter method group was significantly higher than that of the interposition method group. The overall complication rates were significantly lower in the shelter method group than in the interposition method group. Our findings indicate high curative and low complication rates of the shelter method, suggesting that it helps treat HFS caused by various types of arterial compression. (日)
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| ○キーワード (推奨): | 1. | (英) Facial Nerve (日) (読)
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| 2. | (英) Hemifacial Spasm (日) (読)
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| 3. | (英) Humans (日) (読)
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| 4. | (英) Microvascular Decompression Surgery (日) (読)
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| 5. | (英) Retrospective Studies (日) (読)
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| 6. | (英) Treatment Outcome (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Operative Neurosurgery (Congress of Neurological Surgeons)
(pISSN: 2332-4252, eISSN: 2332-4260)
| ○ISSN (任意): | □ | 2332-4260
ISSN: 2332-4252
(pISSN: 2332-4252, eISSN: 2332-4260) Title: Operative neurosurgery (Hagerstown, Md.)Title(ISO): Oper NeurosurgPublisher: Oxford University Press (NLM Catalog)
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| ○巻 (必須): | □ | 00
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| ○号 (必須): | □ |
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| ○頁 (必須): | □ | 1 7
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2022年 4月 29日 (令和 4年 4月 29日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.1227/ons.0000000000000223 (→Scopusで検索)
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| ○PMID (任意): | □ | 35486878 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.1227/ons.0000000000000223 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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