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Many ablative procedures are effective for hemifacial spasm (HFS) (including sectioning of divisions of the facial nerve), however, this leaves the patient with some degree of facial paresis. The current procedure of choice for HFS is microvascular decompression (MVD) wherein the offending vessel is physically moved off of the nerve, and a sponge (e.g. Ivalon®, polyvinyl formyl alcohol foam) is interposed as a cushion. Other cushions may not prove to be as satisfactory (muscle may disappear, and Teflon felt may thin 1).

1)
Rhoton AL. Comment on Payner T D and Tew J M: Recurrence of Hemifacial Spasm After Microvascular Decompression. Neurosurgery. 1996; 38
cushion.txt · Last modified: 2019/06/04 12:08 by administrador