First of all, in order to ensure the quality of the surgery, we use the most advanced minimally invasive surgical incision and route (lateral suboccipital subpallial approach). Through this minimally invasive incision recommended by the world's neurosurgeon experts, we minimize the trauma of the surgery to the patients. All surgical exposures are centered around a single goal: to expose the point of vascular compression on the nerve; anything else would be redundant and add unnecessary trauma. This minimally invasive surgical philosophy is ingrained in our consciousness.
Secondly, since a cushion is permanently implanted between the compressed blood vessel and the facial nerve, the choice of material for this cushion is particularly important. The material had to be soft and flexible, so as not to create new compression on the nerve; it had to be easy to trim and shape, so that it would fit perfectly and never move during each surgery; and it had to be anti-adhesive, so as not to cause inflammation of the nerve. Based on these principles, we chose Teflon cotton as the spacer, which can fully meet the above requirements.
Finally, we would like to briefly introduce the electrophysiologic monitoring during surgery. Since facial muscle spasm is a kind of muscle twitching caused by abnormal bioelectricity, the electromyography monitoring during the whole operation can observe the disappearance of abnormal electromyography in real time, and the surgeon can get the feedback on the operating table immediately. Intraoperative electrophysiologic monitoring can also monitor brainstem function and auditory nerve function. The electrophysiologic monitoring is so sensitive that the slightest disturbance of brainstem and auditory nerve function can be detected on the monitor screen as a waveform abnormality. The physician in charge of the monitoring can then immediately notify the surgeon, who can immediately check and correct his or her own operation to maximize the protection of the patient's neurological function.
Only through this series of measures can we ensure that your nerve function is maximally protected and your vascular compression is completely relieved.