{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:30:08Z","timestamp":1790605808434,"version":"4.1.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Demonstrate the superiority of percutaneous balloon compression (PBC) in the treatment of primary trigeminal neuralgia (PTN) compared to trigeminal microvascular decompression (MVD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical data, including immediate, short-term, and long-term pain relief, complications, duration of the operation, and postoperative hospital stay, were retrospectively analyzed for 114 patients diagnosed with PTN who were treated with either PBC or MVD between January 2018 and December 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no statistically significant differences observed in the pain relief rates between the two surgical methods at 24\u2005h postoperatively (MVD: 91.07%, PBC: 96.55%), at 6 months postoperatively (MVD: 87.5%, PBC: 94.8%), at 1 year postoperatively (MVD: 83.90%, PBC: 94.80%), and at 2 years postoperatively (MVD: 78.60%, PBC: 72.40%). However, the incidence of meningitis following MVD was significantly higher than that following PBC (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.005). Additionally, both the duration of the operation and the length of the postoperative hospital stay in the MVD group were longer than those in the PBC group (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PBC demonstrates efficacy comparable to MVD while offering a simpler procedure, improved safety, and a shorter postoperative hospital stay. Therefore, it may serve as a viable alternative to MVD and could become the preferred surgical approach for treating PTN in the future.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2024.1517064","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T07:21:08Z","timestamp":1736234468000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Percutaneous ballon compression, a better choice for primary trigeminal neuralgia compared to microvascular decompression?"],"prefix":"10.3389","volume":"11","author":[{"given":"Yuwei","family":"Shi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaopeng","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianxiong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/0333102417738202","article-title":"Headache classification committee of the international headache society (IHS) the international classification of headache disorders, 3rd edition","volume":"38","year":"2018","journal-title":"Cephalalgia"},{"key":"B2","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1038\/s41572-024-00523-z","article-title":"Trigeminal neuralgia","volume":"10","author":"Ashina","year":"2024","journal-title":"Nat Rev Dis Primers"},{"key":"B3","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.ncl.2022.09.001","article-title":"Trigeminal neuralgia: diagnosis and treatment","volume":"41","author":"Allam","year":"2023","journal-title":"Neurol Clin"},{"key":"B4","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/1129-2377-15-34","article-title":"Natural history and outcome of 200 outpatients with classical trigeminal neuralgia treated with carbamazepine or oxcarbazepine in a tertiary centre for neuropathic pain","volume":"15","author":"Di Stefano","year":"2014","journal-title":"J Headache Pain"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1111\/j.1468-1331.2010.02999.x","article-title":"EFNS guidelines on the pharmacological treatment of neuropathic pain: 2010 revision","volume":"17","author":"Attal","year":"2010","journal-title":"Eur J Neurol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1212\/01.wnl.0000326598.83183.04","article-title":"Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the quality standards subcommittee of the American academy of neurology and the European federation of neurological societies","volume":"71","author":"Gronseth","year":"2008","journal-title":"Neurology"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e685","DOI":"10.1097\/SCS.0000000000006544","article-title":"Outcomes of treatment for elderly patients with trigeminal neuralgia: percutaneous balloon compression versus microvascular decompression","volume":"31","author":"Ni","year":"2020","journal-title":"J Craniofac Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1080\/02688697.2020.1787341","article-title":"Efficacy of and risk factors for percutaneous balloon compression for trigeminal neuralgia in elderly patients","volume":"35","author":"Li","year":"2021","journal-title":"Br J Neurosurg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1111\/ene.13950","article-title":"European Academy of neurology guideline on trigeminal neuralgia","volume":"26","author":"Bendtsen","year":"2019","journal-title":"Eur J Neurol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1212\/CON.0000000000000451","article-title":"Trigeminal neuralgia","volume":"23","author":"Cruccu","year":"2017","journal-title":"Continuum (Minneap Minn)"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1542","DOI":"10.1177\/0333102411424619","article-title":"Prevalence of trigeminal neuralgia and persistent idiopathic facial pain: a population-based study","volume":"31","author":"Mueller","year":"2011","journal-title":"Cephalalgia"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1166","DOI":"10.1097\/j.pain.0000000000000853","article-title":"Evaluating the impact of trigeminal neuralgia","volume":"158","author":"Zakrzewska","year":"2017","journal-title":"Pain"},{"key":"B13","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.jocn.2023.01.002","article-title":"Is percutaneous balloon compression better than microvascular decompression to treat trigeminal neuralgia? A systematic review and meta-analysis","volume":"109","author":"Nascimento","year":"2023","journal-title":"J Clin Neurosci"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1007\/s00701-021-04793-4","article-title":"Comparison of first-time microvascular decompression with percutaneous surgery for trigeminal neuralgia: long-term outcomes and prognostic factors","volume":"163","author":"Noorani","year":"2021","journal-title":"Acta Neurochir (Wien)"},{"key":"B15","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1056\/NEJMra1914484","article-title":"Trigeminal Neuralgia","volume":"383","author":"Cruccu","year":"2020","journal-title":"N Engl J Med"},{"key":"B16","doi-asserted-by":"publisher","first-page":"3331024231167130","DOI":"10.1177\/03331024231167130","article-title":"Prognostic factors for outcome of microvascular decompression in trigeminal neuralgia: a prospective systematic study using independent assessors","volume":"43","author":"Heinskou","year":"2023","journal-title":"Cephalalgia"},{"key":"B17","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1016\/j.nrl.2021.03.009","article-title":"Microvascular decompression for trigeminal neuralgia: a retrospective analysis of long-term outcomes and prognostic factors","volume":"38","author":"Amaya Pascasio","year":"2023","journal-title":"Neurologia (Engl Ed)"},{"key":"B18","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1136\/jnnp.68.1.59","article-title":"Microvascular decompression for trigeminal neuralgia: comments on a series of 250 cases, including 10 patients with multiple sclerosis","volume":"68","author":"Broggi","year":"2000","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"B19","doi-asserted-by":"publisher","first-page":"88","DOI":"10.5137\/1019-5149.JTN.18322-16.1","article-title":"Long-term therapeutic effect of microvascular decompression for trigeminal neuralgia: Kaplan-Meier analysis in a consecutive series of 425 patients","volume":"28","author":"Wei","year":"2018","journal-title":"Turk Neurosurg"},{"key":"B20","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1007\/s10143-021-01514-4","article-title":"Prognostic nomogram for percutaneous balloon compression in the treatment of trigeminal neuralgia","volume":"45","author":"Liu","year":"2022","journal-title":"Neurosurg Rev"},{"key":"B21","doi-asserted-by":"publisher","first-page":"h1238","DOI":"10.1136\/bmj.h1238","article-title":"Trigeminal neuralgia","volume":"350","author":"Zakrzewska","year":"2015","journal-title":"Br Med J"},{"key":"B22","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1227\/NEU.00000000000001687","article-title":"A review of percutaneous treatments for trigeminal neuralgia","volume":"10","author":"Cheng","year":"2014","journal-title":"Neurosurgery"},{"key":"B23","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/j.nec.2017.02.009","article-title":"Surgical treatment of trigeminal neuralgia","volume":"28","author":"Bick","year":"2017","journal-title":"Neurosurg Clin N Am"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1007","DOI":"10.3171\/jns.1983.59.6.1007","article-title":"Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia","volume":"59","author":"Mullan","year":"1983","journal-title":"J Neurosurg"},{"key":"B25","doi-asserted-by":"publisher","first-page":"2295","DOI":"10.1007\/s13760-023-02310-1","article-title":"Percutaneous balloon compression for trigeminal neuralgia: experience and surgical techniques from a single institution","volume":"123","author":"Deng","year":"2023","journal-title":"Acta Neurol Belg"},{"key":"B26","first-page":"E345","article-title":"Balloon pressure and clinical effectiveness of percutaneous microballoon compression in the treatment of primary trigeminal neuralgia","volume":"27","author":"Peng","year":"2024","journal-title":"Pain Phys"},{"key":"B27","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1016\/S1474-4422(20)30233-7","article-title":"Advances in diagnosis, classification, pathophysiology, and management of trigeminal neuralgia","volume":"19","author":"Bendtsen","year":"2020","journal-title":"Lancet Neurol"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1907","DOI":"10.1016\/S0140-6736(19)32315-3","article-title":"Anaesthetic depth and complications after major surgery: an international, randomised controlled trial","volume":"394","author":"Short","year":"2019","journal-title":"Lancet"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1517064\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T07:21:11Z","timestamp":1736234471000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1517064\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,7]]},"references-count":28,"alternative-id":["10.3389\/fsurg.2024.1517064"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2024.1517064","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,7]]},"article-number":"1517064"}}