Analysis of the effectiveness and complications of neuroendoscopic microvascular decompression in the treatment of hemifacial spasm

Objective To discuss the effectiveness of neuroendoscopic microvascular decompression in the treatment of hemifacial spasm and related complications. Methods A total of 60 patients who were diagnosed with facial spasm in the Affiliated Hospital of Xuzhou Medical University from January 2017 to March 2019 were enrolled. They were randomly divided into two groups (n=30). The control group received microvascular decompression under a simple microscope, while the observation group was given microvascular decompression assisted by a neuroendoscope. Both groups were compared for clinical effectiveness, quality of life, and complication incidence. Results After treatment, the observation group presented a higher total rate of clinical effectiveness than the control group (P<0.05). Decreased scores of HFS-8 were found in both groups after treatment, compared with those before treatment (P<0.05), where HFS-8 score was significantly lower in the observation group than that in the control group (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusions Endoscopic microvascular decompression is more effective in the treatment of hemifacial spasm, which is able to detect the responsible vessels on the dorsal side of the facial nerve that cannot be observed under a microscope, with higher quality of life, fewer complications and a lower incidence of recurrence. Neuroendoscopic microvascular decompression has obviously clinical advantages over microscopic microvascular decompression alone.