ArticleFrontiers in surgery2026
Precise balloon pressure regulation in percutaneous balloon compression for trigeminal neuralgia: evidence from a single-center prospective cohort.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Background: Trigeminal neuralgia (TN) causes severe paroxysmal facial pain and quality-of-life impairment. Percutaneous balloon compression (PBC) is minimally invasive, yet efficacy and complication rates remain variable. We conducted a single-centre prospective cohort study to define phase-specific intraballoon pressure thresholds that maximize pain relief while minimising facial hypoaesthesia and recurrence. Methods: 115-TN patients undergoing PBC (Jan 2017-Aug 2024) had real-time pressure recorded at 1 Hz. Pressure morphometrics were classified into pear-shaping, maintenance and full-compression phases. Reference intervals (RI) were established with the non-parametric CLSI C28-A2 method ( Results: Higher phase pressures correlated with more severe hypoaesthesia ( Conclusion: Real-time, phase-adapted pressure control within the proposed RI allows surgeons to standardize PBC while individualizing the therapeutic window, improving safety and durability of pain relief.
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