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Facial nerve monitoring in parotid gland surgery:design and feasibility assessment of a potential standardized technique

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2023年第4期9卷 280-287页

作者： Carlos S.Duque Andrés F.Londoño Ana M.Duque Jhon J.Zuleta Marcela Marulanda Lina M.Otálvaro Miguel Agudelo Juan P.Dueñas María F.Palacio Gianlorenzo Dionigi Hospital Pablo Tobón Uribe Departmento deCancerologíaMedellinColombia clínica de otorrinolaringología de antioquia“orlant” MedellínColombia Sección otorrinolaringología Departamentode CirugíaFacultad de MedicinaUniversidadde AntioquiaMedellínColombia Hospital Pablo Tobón Uribe DirecciónCientíficaMedellinColombia Sección Cirugia de Cabeza y Cuello Departamento de CirugíaFacultad deMedicinaUniversidad de AntioquiaMedellinColombia department of Internal Medicine IsraelMedical CenterNewarkNew JerseyUSA departamento de Cirugía Clínica El RosarioEl TesoroMedellínColombia Sección Cabeza y Cuello Instituto deCancerologíaClínica Las Américas–AunaMedellínColombia Chirurgia Generale Capitanio AuxiologicoMilanItaly

Background:Even though the use of nerve monitoring during parotid gland surgery is not the gold standard to prevent damage to the nerve,it surely offers some advantages over the traditional *** from thyroid surgery,where a series of steps in intraoperative nerve monitoring have been described to confirm not only the integrity but—most importantly—the function of the recurrent laryngeal nerve,in parotid gland surgery,a formal guideline to follow while dissecting the facial nerve has yet to be ***:A five‐year retrospective study was done reviewing the intraoperative records of patients who underwent parotid gland surgery under neural *** operative findings regarding the neuromonitoring process,particularly in regard to the amplitude of two main branches,were revised.A literature search was done to search for guidelines to follow when a facial nerve loss of signal is ***:Fifty‐five patients were operated on using the Nim 3 Nerve Monitoring System(Medtronic);31 were female patients,and 47 patients had benign *** changes were observed in the amplitude records after a comparison was made between the first and the last *** were only three articles discussing the term loss of signal during parotid gland ***:Today,no sufficient attention has been given to the facial nerve monitoring process during *** study proposes a formal guideline to follow during this procedure as well as an instruction to consider when a loss of signal is observed to develop a uniform technique of facial nerve stimulation.

关键词： amplitude facial nerve intraoperative neural monitoring latency loss of signal nerve monitoring parotid gland

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