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Reoperation for Hemifacial Spasm

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Microvascular Decompression Surgery

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Abstract

Despite the high success rate of microvascular decompression procedures for hemifacial spasm and trigeminal neuralgia, failure and recurrence are unavoidable. If the spasm or pain does not resolve after surgery and the surgeon thinks perhaps some culprit vessels were neglected in the first operation, early reoperation is indicated. If the symptoms persist for a long period after surgery and delayed resolution does not take place, late reoperation should be performed. Besides, late reoperation is indicated for recurrence. The uncertainty of “delayed resolution” and the high risk of complications of the reoperation make the decision very difficult.

A “failed” patient is a signal that we are not perfect and that the forces of nature have again outwitted us. We cannot hide these failures, avoid them, or ignore them. Rather, we can learn from them and, frequently, can make the patients feel better or even cure them.PETER J. JANNETTA, 1985

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Authors and Affiliations

  1. Department of Neurosurgery, Xinhua Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China

    Shi-Ting Li & Xue-Sheng Zheng

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  1. Shi-Ting Li
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  2. Xue-Sheng Zheng
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Correspondence to Shi-Ting Li .

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Editors and Affiliations

  1. Shanghai, China

    Shi-Ting Li

  2. Dept. Neurosurgery, XinHua Hospital, Shanghai, China

    Jun Zhong

  3. UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania, USA

    Raymond F. Sekula, Jr.

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Li, ST., Zheng, XS. (2016). Reoperation for Hemifacial Spasm. In: Li, ST., Zhong, J., Sekula, Jr., R. (eds) Microvascular Decompression Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7366-9_14

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  • DOI: https://doi.org/10.1007/978-94-017-7366-9_14

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  • Online ISBN: 978-94-017-7366-9

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