Endoscopic microvascular decompression versus microscopic microvascular decompression for trigeminal neuralgia: A systematic review and meta-analysis

作者：Lulu Chen, Yuchun Shang, Yesen Zhang, Yongxuan Zhao · 发表于：Journal of Clinical Neuroscience · 年份：2023 · DOI：10.1016/j.jocn.2023.09.009 · 被引用次数：20 · 研究领域：Trigeminal Neuralgia and Treatments、Migraine and Headache Studies、Obstructive Sleep Apnea Research

Background To compare the efficacy and safety of full endoscopic or endoscope-assisted microvascular decompression (E-MVD) and microscopic microvascular decompression (M-MVD) for primary trigeminal neuralgia (TN). Methods We systematically searched the online database, including PubMed, Embase and Cochrane Library. The search terms used included, but were not limited to, "Trigeminal Neuralgia", "Microvascular Decompression Surgery" and "Endoscope". Postoperative facial pain relief and postoperative complications were considered for meta-analysis. All the outcomes were calculated as odds ratios (ORs) with 95% confidence intervals using R language. Results A total of three studies involving 442 (E-MVD [218] versus M-MVD [224]) patients were included for analysis in our study. Postoperative facial pain relief (very much improved or much improved) was no difference between the two groups (OR, 0.95;95% CI, 0.57–1.58; I 2 = 0%; p = 0.83). In addition, the occurrence of some postoperative complications was not statistically different between the two groups, including CSFleak (OR, 1.35;95% CI, 0.16–11.13; I 2 = 0%; p = 0.94), facial paralysis (OR, 0.26;95% CI, 0.03–2.54; I 2 = 0%; p = 0.67), hearing loss (OR, 0.87;95% CI, 0.30–2.55; I 2 = 32%; p = 0.22), facial numbness (OR, 1.03;95% CI, 0.56–1.87; I 2 = 62%; p = 0.10). Conclusions Both endoscopic microvascular decompression and microscopic microvascular decompression for trigeminal neuralgia appear to provide patients with equivalen...