Abstract
Microendoscopic trigeminal nucleotractotomy (MENT) is a minimally
invasive surgical procedure used to treat trigeminal neuralgia (TN). In this chapter, the
authors describe the clinical outcomes associated with MENT regarding pain relief and
functional improvement. Our novel technique resulted in a significant reduction in pain
scores following MENT, as indicated by a decrease in the Visual Analog Scale (VAS)
scores. Additionally, a substantial proportion of patients reported functional
improvement, including enhanced ability to perform daily activities. The success of
MENT is influenced by factors such as patient selection, surgical technique, and
underlying causes of TN. Although the study provides short-term follow-up and
feasibility data, further research with longer-term evaluations is necessary to assess the
durability of pain relief achieved through MENT.
Keywords: Intractable pain, Microendoscopic, Trigeminal nucleotractotomy, Trigeminal neuralgia.