新的术中连续定量面神经监测系统用于颞骨病变。

IF 2.2 3区 医学 Q2 OTORHINOLARYNGOLOGY
Makoto Hosoya, Kaho Iwabu, Takeshi Wakabayashi, Marie N Shimanuki, Takanori Nishiyama, Masafumi Ueno, Hiroyuki Ozawa, Naoki Oishi
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引用次数: 0

摘要

目的:术中监测面神经功能的系统,通过电极对面神经施加颞叶电刺激,用于许多需要保留面神经的手术;然而,这种方法很难对面部神经功能进行持续刺激或定量评估。我们研究了连续和定量面神经监测系统对颞骨病变的有用性,利用我们的经验来修改现有的用于前庭神经鞘瘤病例的方法。研究设计:回顾性观察性研究。单位:本院耳鼻喉头颈外科。方法:对电极放置方式进行了改进,并在几种条件下对系统的有效性进行了检验。研究人群包括在我科接受颞骨病变手术的患者,并使用改进的系统进行连续的神经监测。获得手术前后的病例细节、电极放置位置和面神经功能数据并进行回顾性评估。结果:所有病例术中均安全放置电极。除1例外,未见明显面神经功能减退。结论:该系统在面神经神经通路复杂的情况下,可进行术中定量评估,防止意外神经损伤。这种监测系统是有用的,即使在复杂的颞骨手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel continuous and quantitative intraoperative facial nerve-monitoring system for temporal bone lesions.

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.

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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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