Scholarlink

Objective <p>Intraoperative systems for monitoring facial nerve function, in which temporal electrical stimulation is applied to the facial nerve through electrodes, are used in many surgeries requiring facial nerve preservation; however, continuous stimulation or quantitative evaluation of facial nerve function is difficult with this approach. We examined the usefulness of a continuous and quantitative facial nerve-monitoring system for temporal bone lesions by using our experience to modify the existing methods used for cases involving vestibular schwannomas.</p> Study design <p>Retrospective observational study.</p> Setting <p>Department of Otorhinolaryngology-Head and Neck Surgery at our hospital.</p> Methods <p>We modified the electrode placement and examined the usefulness of the modified system under several conditions. The study population consisted of patients who were operated on for temporal bone lesions at our department and underwent continuous nerve monitoring using the modified system. Case details, electrode-placement sites, and facial nerve function data before and after the surgery were obtained and retrospectively evaluated.</p> Results <p>Electrodes were placed safely during surgery in all cases. No obvious deterioration in facial nerve function was observed, except in one case.</p> Conclusion <p>The advantages of this system include its ability to perform quantitative intraoperative evaluations and prevent unexpected nerve damage in cases where the facial nerve shows complicated pathways. This monitoring system is useful, even in complex temporal bone surgeries.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Novel continuous and quantitative intraoperative facial nerve-monitoring system for temporal bone lesions

  • 期刊论文

  • 发表日期：

    2025年1月25日

查看全文
  • Makoto Hosoya,
  • Kaho Iwabu,
  • Takeshi Wakabayashi,
  • Marie N. Shimanuki,
  • Takanori Nishiyama,
  • Masafumi Ueno,
  • Hiroyuki Ozawa,
  • Naoki Oishi

摘要

Objective

Intraoperative systems for monitoring facial nerve function, in which temporal electrical stimulation is applied to the facial nerve through electrodes, are used in many surgeries requiring facial nerve preservation; however, continuous stimulation or quantitative evaluation of facial nerve function is difficult with this approach. We examined the usefulness of a continuous and quantitative facial nerve-monitoring system for temporal bone lesions by using our experience to modify the existing methods used for cases involving vestibular schwannomas.

Study design

Retrospective observational study.

Setting

Department of Otorhinolaryngology-Head and Neck Surgery at our hospital.

Methods

We modified the electrode placement and examined the usefulness of the modified system under several conditions. The study population consisted of patients who were operated on for temporal bone lesions at our department and underwent continuous nerve monitoring using the modified system. Case details, electrode-placement sites, and facial nerve function data before and after the surgery were obtained and retrospectively evaluated.

Results

Electrodes were placed safely during surgery in all cases. No obvious deterioration in facial nerve function was observed, except in one case.

Conclusion

The advantages of this system include its ability to perform quantitative intraoperative evaluations and prevent unexpected nerve damage in cases where the facial nerve shows complicated pathways. This monitoring system is useful, even in complex temporal bone surgeries.