Iatrogenic facial nerve injury is one of the most severe complications of cochlear implantation CI surgery. Intraoperative facial nerve monitoring IFNM is used as an adjunctive modality in a variety of neurotologic surgeries. The purpose of this retrospective study was to assess whether the use of IFNM is associated with postoperative facial nerve injury during CI surgery.
Intraoperative recurrent laryngeal nerve RLN injury is a major source of morbidity from thyroid surgery. Unilateral injury can cause voice change and aspiration whereas bilateral injury can cause stridor and acute airway obstruction. Intraoperative RLN injury is a leading cause of medico-legal litigation after thyroid surgery 1 - 3.
Innovative, intraoperative NIM nerve monitoring systems enable surgeons to identify, confirm, and monitor motor nerve function to help reduce the risk of nerve damage during a variety of surgical procedures, including ENT surgery, otolaryngology, and general surgeries. If there is a change in nerve function, the NIM system may provide visual and audible warnings to alert you. This helps reduce the risk of nerve damage during various surgeries, including ENT and general surgical procedures, improving safety and peace-of-mind for both surgeons and patients.
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Therefore, it is necessary to identify and preserve these nerves. Intraoperative nerve monitoring is necessary for nerve function preservation. The successful combination of these devices was employed as a complete alternative to EMG.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. This study will be conducted in two phases. In the first phase the investigators will use the same monitoring system currently used during parotidectomy and requires placement of the APS electrode as the only additional piece of equipment.
It was reported that a patient suffered facial paralysis during a revision right ear mastoidectomy procedure. It was noted that the electrodes were placed off-label locations on the patient during pre-operative preparation. Reportedly, there were audio-tone warnings to signal presence of a nerve but the warnings were inadvertently dismissed as the patient being "light".
With an updated browser, you will have a better Medtronic website experience. Update my browser now. Intraoperative NIM nerve monitors enable surgeons to identify, confirm, and monitor motor nerve function during a variety of surgical procedures to help reduce the potential risk of nerve damage. Provides both an open airway for patient ventilation and intraoperative nerve monitoring capability for the recurrent laryngeal or vagus nerves.
Journal of Clinical Monitoring and Computing. Acoustic neuroma resection is an example of a neurosurgical procedure where the brainstem and multiple cranial nerves are at risk for injury. Electrode placement for monitoring of the glossopharyngeal and hypoglossal nerves during acoustic neuroma resection can be challenging.
Intraoperative neurophysiological monitoring IONM or intraoperative neuromonitoring is the use of electrophysiological methods such as electroencephalography EEGelectromyography EMGand evoked potentials to monitor the functional integrity of certain neural structures e. For a given surgery, the set of modalities used depends in part on which neural structures are at risk. IONM techniques have significantly reduced the rates of morbidity and mortality without introducing additional risks. By doing so, IONM techniques reduce health care costs.