{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:36:01Z","timestamp":1787841361005,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Microvascular decompression (MVD) of the trigeminal nerve is a well-accepted nondestructive procedure for trigeminal neuralgia. Usually, Teflon (PTFE) puff or felt graft techniques, which are most commonly used, are associated with arachnoiditis and recurrence among other complications. We use the \u201csleeve graft\u201d technique using PTFE to separate the neurovascular conflict and here we describe our experience with the same in 376 cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To study the outcomes in 376 patients treated with sleeve graft technique for trigeminal neuralgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>For a period of 18 years, from 2002 to 2020, all cases of medically refractory trigeminal neuralgia were subjected to the \u201csleeve graft\u201d technique for MVD. Pre- and post-operatively, pain score was given according to Barrow Neurological Institute pain intensity score. Cases were observed for any complications and pain relief in short and long-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 376 cases of refractory primary trigeminal neuralgia cases, among which 198 patients underwent MVD with no prior intervention, 158 underwent MVD following percutaneous ablative procedure, 13 were \u201cRevision MVD\u201d previously done at other centers, and four were post gamma knife failure. There was no incidence of arachnoiditis or recurrence of symptoms. Further, 368 (97.8%) patients had complete recovery from symptoms while eight (2.2%) had partial recovery after 5 years of follow-up. Complications included hearing loss (n = 1), temporary hypoesthesia (n = 45), and permanent hypoesthesia (n = 7).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\u201cPTFE Sleeve Graft\u201d technique to remove the neurovascular conflict in micro vascular decompression (MVD) for trigeminal neuralgia is a safe and effective technique that yields better results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.355155","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:36:16Z","timestamp":1664152576000},"page":"1412-1416","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["\u201dPTFE Sleeve Graft\u201d Technique to Remove Neurovascular Conflict in Micro Vascular Decompression for Trigeminal Neuralgia"],"prefix":"10.4103","volume":"70","author":[{"given":"Ajit K.","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Sir Ganga Ram Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrey","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sir Ganga Ram Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Medha A.","family":"Vyas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sir Ganga Ram Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muralikrishnan","family":"Krishnankutty","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sir Ganga Ram Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,8,30]]},"reference":[{"key":"R1-20250921","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/ana.410270114","article-title":"Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984","volume":"27","author":"Katusic","year":"1990","journal-title":"Ann Neurol"},{"key":"R2-20250921","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1097\/00000658-198010000-00010","article-title":"Neurovascular compression in cranial nerve and systemic disease","volume":"192","author":"Jannetta","year":"1980","journal-title":"Ann Surg"},{"key":"R3-20250921","doi-asserted-by":"crossref","first-page":"476","DOI":"10.4103\/0028-3886.258009","article-title":"The efficacy of gamma knife radiosurgery in patients with trigeminal neuralgia: The initial experience of the Bezmialem Vakif university","volume":"67","author":"Akdag","year":"2019","journal-title":"Neurol India"},{"key":"R4-20250921","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s101940070042","article-title":"Surgical treatment of trigeminal neuralgia: Results of percutaneous treatment versus microsurgical decompression","volume":"1","author":"Meglio","year":"2000","journal-title":"J Headache Pain"},{"key":"R5-20250921","doi-asserted-by":"crossref","first-page":"688","DOI":"10.4103\/0028-3886.232342","article-title":"Microvascular decompression versus stereotactic radiosurgery as primary treatment modality for trigeminal neuralgia: A systematic review and meta-analysis of prospective comparative trials","volume":"66","author":"Sharma","year":"2018","journal-title":"Neurol India"},{"key":"R6-20250921","first-page":"145","article-title":"Observations on the etiology of trigeminal neuralgia, hemifacial spasm, acoustic nerve dysfunction and glossopharyngeal neuralgia. 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