Percutaneous Balloon Compression Surgery
Percutaneous Balloon Compression (PBC) is a minimally invasive surgical procedure which is used in order to alleviate trigeminal neuralgia which is a condition that can last for years which causes severe, facial pain that is similar to a shock. The term “percutaneous” means “through the skin,” which is why the procedure is performed by inserting tools into the cheek without cutting the skull.
The goal is to compress gently the trigeminal nerve that is that is responsible to transmitting facial pain. By compressing the nerve using a balloon, doctors can target the nerve fibers which transmit pain. This will to stop the nerve from transmitting messages of pain into the brainproviding quick and efficient pain relief.
Who Needs This Surgery?
This is generally advised for those who:
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Are suffering with Trigeminal Neurogia with severe facial pain.
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Do not get enough relief from your medications.
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Do not tolerate more invasive procedures due to health or age problems.
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Do you want to have a quicker healing with fewer risks from surgery.
It’s especially helpful for patients who are elderly or suffering from medical issues since there is no need to cut the skull or brain.
How Does It Work? (Step-by-Step)
Here’s a brief overview of the process:
1. You’re Put to Sleep (General Anesthesia) :- The procedure will be performed under general anesthesia, which means you won’t feel any discomfort during the procedure.
2. A Needle Is Inserted Through the Cheek :- The surgeon will carefully insert the hollow needle into your cheek to reach a small opening at the top of your skull. This is known as foramen ovale. Foramen ovale which is where the trigeminal nerve is situated.
3. A Balloon Catheter Is Guided to the Nerve :- The tiny balloon that is attached to a tube (catheter) is passed through the needle to access the trigeminal Ganglion- an area of nerve cells.
4. The Balloon Is Inflated :- A balloon gets filled with a liquid for a period of 1 or 2 minutes. The balloon presses lightly on the nerve, which causes damage to the nerve fibers that transmit pain signals (not the touch and temperature).
5. Balloon Is Deflated and Removed :- When the compression has been completed then the balloon will be deflated and then removed. The needle is removed as well.
The duration for the procedure typically ranges from 30-60 minutes.
What Happens After the Surgery?
1. Immediate Recovery
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You’ll awake with an feeling of numbness to the side of your facial. This is normal and shows how the nerve compression was effective.
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You could return on the same day or day after.
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Certain people experience immediately relief from the pain however for other people it will improve gradually over the course of a couple of days.
2. Long-Term Recovery
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You’ll be able to get back to normal activities in two to three days.
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The majority of people return back to regular life within the space of a week.
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Numbness in the face may last for a short period of time, but it is usually less apparent.
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The pain relief process can last from up to a few years. If the pain recurs later, the procedure may be repeated.
Benefits of PBC Surgery
1. The procedure is minimally invasive :- There are no large cuts or openings in the skull.
2. Fast Pain Relief :- Many experience immediate relief in the pain.
3. Rapid Recovery :- Most patients can resume their normal lives within a few days.
4. Is suitable for the elderly :- Safe for people who don’t have the capacity to undergo more intense operations.
5. Repeatable:- If pain is recurring and it’s safe to repeat, it can be repeated.
Possible Side Effects and Risks
Although generally safe, there are risks, such as:
1. Face Numbness : – Mild facial numbness is common after the procedure. Most patients adjust well and consider it better than severe pain.
2. Chewing Muscles That Are Weak :- You may experience jaw weakness while chewing, which typically improves gradually without the need for additional treatments or concern.
3. Double Vision :- A rare and temporary side effect; if it occurs, it usually resolves on its own within a few days.
4. Infection or Bleeding :- Extremely rare due to the minimally invasive technique. Proper sterilization and care minimize this risk almost entirely.
5. Recurrence of Pain :- In some patients, trigeminal pain may return months or years later. The procedure can be repeated if necessary.
Be sure to discuss these potential risks with your doctor prior to beginning.
How to Prepare for the Procedure
1. Consult a Neurologist/Neurosurgeon: Ensure correct diagnosis of trigeminal neuralgia.
2. Images Tests: MRI or CT scans can be performed prior to surgery.
3. Avoid drinking or eating prior to surgery: Typically, between 6 and 8 hours prior to.
4. Arrange Transportation You’ll require someone to take you home from work.
What Life Looks Like After PBC
The experience following the procedure of Percutaneous Balloon Compression can be comfortable, serene and more common than what many patients have to endure prior to surgery. Doing away with the fear of the trigger that hurts when you smile or eating, or even brushing your teeth enhances the your life significantly.
A few minor numbnesses may persist however, most people feel that it’s an acceptable trade-off for being free of severe facial discomfort. Maintaining contact with your medical team will ensure the long-term health of your treatment and allows you to monitor for any recurrence of pain.
Conclusion
Percutaneous Balloon Compression (PBCS) is an very effective and secure option for patients who suffer from the debilitating effects of trigeminal neuropathy. The procedure is short that is safe, with minimal risk, and offers immediate relief for the majority of patients.
If you’re considering treatments at first, or looking for options after medication has been unsuccessful, PBC surgery might be the solution to returning to your life – without pain and with confidence.
