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J Neurol Surg A Cent Eur Neurosurg 2023; 84(05): 470-476
DOI: 10.1055/a-1994-7956
Review Article

A Comparative Review of the Outcome Following MVD and PBC in Patients with Trigeminal Neuralgia

Yi Zhou‡   *
1   Department of Neurosurgery, TaiHe Hospital, Hubei University of Medicine, Shiyan, Hubei, People's Republic of China
,
Ning-Ning Dou‡   *
2   Department of Neurosurgery, XinHua Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, People's Republic of China
,
Xue-Lai Liu
3   Department of Neurosurgery, LingYi Hospital of Traditional Chinese Medicine, Shandong, People's Republic of China
,
Hui Wang
1   Department of Neurosurgery, TaiHe Hospital, Hubei University of Medicine, Shiyan, Hubei, People's Republic of China
,
Jun Zhong
2   Department of Neurosurgery, XinHua Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, People's Republic of China
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Funding None.
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Abstract

Background This study aims to systematically review the treatment outcomes of percutaneous balloon compression (PBC) and microvascular decompression (MVD) in patients with trigeminal neuralgia.

Methods A systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline was performed using PubMed, Embase, and Cochrane Central Registry of Controlled Trials databases. Only those articles with more than 5 years' follow-up length were included in this investigation. To uniformly assess the postoperative outcome, we defined pain relief as totally pain free, while the postoperative hospitalization and last follow-up period were defined as early and long term, respectively. The facial numbness was quantified with Barrow Neurological Institute Pain Intensity Score (BNI).

Results After database searching and screening, 7,797 cases were finally included according to the criteria. The early pain relief rates were 94.1% (1,551/1,649) and 89.9% (4,962/5,482) following PBC and MVD (odds ratio [OR] = 0.603; p < 0.05), while the long-term rates were 58.1% (921/1,566) and 74.9% (4,549/6,074; OR = 2.089; p < 0.05), respectively. Although a significant higher facial numbness occurred in the PBC group in the early stage, it was mostly diminished 5 years later compared with the MVD group. At long-term follow-up, hypoacusis and facial palsy occurred more often in the MVD group (p < 0.05).

Conclusions Both MVD and PBC provide a satisfactory outcome for the patients in the long term. As a simple, safe, and reliable technique, PBC should be considered as a viable alternative.

Keywords

trigeminal neuralgia - microvascular decompression - percutaneous balloon compression - long-term

Author Contributions

J.Z. contributed to the study conception and design. Material preparation, data collection, and analysis were performed by N.N.D., X.L.L., Y.Z. and H.W. The first draft of the manuscript was written by Y.Z., and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.


* Drs Dou and Zhou contributed equally to this study.




Publikationsverlauf

Eingereicht: 03. Januar 2022

Angenommen: 05. Dezember 2022

Accepted Manuscript online:
08. Dezember 2022

Artikel online veröffentlicht:
11. Mai 2023

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