Application of Attachable Magnetic Nerve Stimulator in Intraoperative Facial Nerve Monitoring during Ear Surgery
We developed an attachable magnetic nerve stimulator (AMNS) that connects the metallic instruments to a neurophysiological monitoring unit for monitoring the facial nerve (FN) during ear surgery and present our experiences with intraoperative neuromonitoring (IONM) of the FN using AMNS. The FN in 20...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2020-05, Vol.162 (5), p.773-775 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Oh, Se-Joon Choi, Sung-Won Lee, Seokhwan Na, Han-Seul Sung, Eui-Suk Shin, Sung-Chan Lee, Byung-Joo |
| description | We developed an attachable magnetic nerve stimulator (AMNS) that connects the metallic instruments to a neurophysiological monitoring unit for monitoring the facial nerve (FN) during ear surgery and present our experiences with intraoperative neuromonitoring (IONM) of the FN using AMNS. The FN in 20 patients who underwent tympanomastoidectomy for chronic ear disease was examined. The electromyography (EMG) amplitudes of the FN using AMNS were assessed. The EMG amplitudes of the FN at 1.00-mA stimulation during drilling were 265 ± 64 µV in the orbicularis oris and 288 ± 57 µV in the orbicularis oculi. The EMG amplitudes using AMNS attached to the surgical instruments under 0.35-mA stimulus at the tympanic segment of the FN were 196 ± 43 µV in the orbicularis oris and 197 ± 41 µV in the orbicularis oculi. The application of continuous stimulation with burr and surgical instruments using the AMNS is feasible and effective for FN stimulation and identification. |
| doi_str_mv | 10.1177/0194599820907912 |
| format | Article |
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The FN in 20 patients who underwent tympanomastoidectomy for chronic ear disease was examined. The electromyography (EMG) amplitudes of the FN using AMNS were assessed. The EMG amplitudes of the FN at 1.00-mA stimulation during drilling were 265 ± 64 µV in the orbicularis oris and 288 ± 57 µV in the orbicularis oculi. The EMG amplitudes using AMNS attached to the surgical instruments under 0.35-mA stimulus at the tympanic segment of the FN were 196 ± 43 µV in the orbicularis oris and 197 ± 41 µV in the orbicularis oculi. The application of continuous stimulation with burr and surgical instruments using the AMNS is feasible and effective for FN stimulation and identification.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599820907912</identifier><identifier>PMID: 32151184</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Electromyography ; facial nerve ; Facial Nerve - physiology ; Humans ; intraoperative neurophysiological monitoring ; Magnetic Phenomena ; mastoidectomy ; Monitoring, Intraoperative ; Otologic Surgical Procedures</subject><ispartof>Otolaryngology-head and neck surgery, 2020-05, Vol.162 (5), p.773-775</ispartof><rights>American Academy of Otolaryngology–Head and Neck Surgery Foundation 2020</rights><rights>2020 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3863-50fac9a909f6c4c6687dada15bd74d349969a7ae4c5d6a673ad700c19c14381f3</citedby><cites>FETCH-LOGICAL-c3863-50fac9a909f6c4c6687dada15bd74d349969a7ae4c5d6a673ad700c19c14381f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0194599820907912$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0194599820907912$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1417,21818,27923,27924,43620,43621,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32151184$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Se-Joon</creatorcontrib><creatorcontrib>Choi, Sung-Won</creatorcontrib><creatorcontrib>Lee, Seokhwan</creatorcontrib><creatorcontrib>Na, Han-Seul</creatorcontrib><creatorcontrib>Sung, Eui-Suk</creatorcontrib><creatorcontrib>Shin, Sung-Chan</creatorcontrib><creatorcontrib>Lee, Byung-Joo</creatorcontrib><title>Application of Attachable Magnetic Nerve Stimulator in Intraoperative Facial Nerve Monitoring during Ear Surgery</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>We developed an attachable magnetic nerve stimulator (AMNS) that connects the metallic instruments to a neurophysiological monitoring unit for monitoring the facial nerve (FN) during ear surgery and present our experiences with intraoperative neuromonitoring (IONM) of the FN using AMNS. The FN in 20 patients who underwent tympanomastoidectomy for chronic ear disease was examined. The electromyography (EMG) amplitudes of the FN using AMNS were assessed. The EMG amplitudes of the FN at 1.00-mA stimulation during drilling were 265 ± 64 µV in the orbicularis oris and 288 ± 57 µV in the orbicularis oculi. The EMG amplitudes using AMNS attached to the surgical instruments under 0.35-mA stimulus at the tympanic segment of the FN were 196 ± 43 µV in the orbicularis oris and 197 ± 41 µV in the orbicularis oculi. The application of continuous stimulation with burr and surgical instruments using the AMNS is feasible and effective for FN stimulation and identification.</description><subject>Electromyography</subject><subject>facial nerve</subject><subject>Facial Nerve - physiology</subject><subject>Humans</subject><subject>intraoperative neurophysiological monitoring</subject><subject>Magnetic Phenomena</subject><subject>mastoidectomy</subject><subject>Monitoring, Intraoperative</subject><subject>Otologic Surgical Procedures</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAUhS0EgvLYmZBHloBvnPgxFtQCEo8BmKNbxylGaRzsBNR_T0oLAxJiusP5vqOrQ8gxsDMAKc8Z6CzXWqVMM6kh3SIjYFomQoHcJqNVnKzyPbIf4ytjTAgpd8keTyEHUNmItOO2rZ3BzvmG-oqOuw7NC85qS-9w3tjOGXpvw7ulj51b9DV2PlDX0JumC-hbGwZzCKdoHNYb8s43bsBcM6dl_3UmGOhjH-Y2LA_JToV1tEebe0Cep5Ony-vk9uHq5nJ8mxiuBE9yVqHRqJmuhMmMEEqWWCLks1JmJc-0Fhol2szkpUAhOZaSMQPaQMYVVPyAnK572-Dfehu7YuGisXWNjfV9LFIuc81UCjCgbI2a4GMMtira4BYYlgWwYrVz8XvnQTnZtPezhS1_hO9hB0CtgQ9X2-W_hcXD9f3FlCkp-aAmazXi3Bavvg_NMNTfv3wCSeGWGg</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Oh, Se-Joon</creator><creator>Choi, Sung-Won</creator><creator>Lee, Seokhwan</creator><creator>Na, Han-Seul</creator><creator>Sung, Eui-Suk</creator><creator>Shin, Sung-Chan</creator><creator>Lee, Byung-Joo</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>Application of Attachable Magnetic Nerve Stimulator in Intraoperative Facial Nerve Monitoring during Ear Surgery</title><author>Oh, Se-Joon ; Choi, Sung-Won ; Lee, Seokhwan ; Na, Han-Seul ; Sung, Eui-Suk ; Shin, Sung-Chan ; Lee, Byung-Joo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3863-50fac9a909f6c4c6687dada15bd74d349969a7ae4c5d6a673ad700c19c14381f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Electromyography</topic><topic>facial nerve</topic><topic>Facial Nerve - physiology</topic><topic>Humans</topic><topic>intraoperative neurophysiological monitoring</topic><topic>Magnetic Phenomena</topic><topic>mastoidectomy</topic><topic>Monitoring, Intraoperative</topic><topic>Otologic Surgical Procedures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Se-Joon</creatorcontrib><creatorcontrib>Choi, Sung-Won</creatorcontrib><creatorcontrib>Lee, Seokhwan</creatorcontrib><creatorcontrib>Na, Han-Seul</creatorcontrib><creatorcontrib>Sung, Eui-Suk</creatorcontrib><creatorcontrib>Shin, Sung-Chan</creatorcontrib><creatorcontrib>Lee, Byung-Joo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Se-Joon</au><au>Choi, Sung-Won</au><au>Lee, Seokhwan</au><au>Na, Han-Seul</au><au>Sung, Eui-Suk</au><au>Shin, Sung-Chan</au><au>Lee, Byung-Joo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Application of Attachable Magnetic Nerve Stimulator in Intraoperative Facial Nerve Monitoring during Ear Surgery</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2020-05</date><risdate>2020</risdate><volume>162</volume><issue>5</issue><spage>773</spage><epage>775</epage><pages>773-775</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>We developed an attachable magnetic nerve stimulator (AMNS) that connects the metallic instruments to a neurophysiological monitoring unit for monitoring the facial nerve (FN) during ear surgery and present our experiences with intraoperative neuromonitoring (IONM) of the FN using AMNS. The FN in 20 patients who underwent tympanomastoidectomy for chronic ear disease was examined. The electromyography (EMG) amplitudes of the FN using AMNS were assessed. The EMG amplitudes of the FN at 1.00-mA stimulation during drilling were 265 ± 64 µV in the orbicularis oris and 288 ± 57 µV in the orbicularis oculi. The EMG amplitudes using AMNS attached to the surgical instruments under 0.35-mA stimulus at the tympanic segment of the FN were 196 ± 43 µV in the orbicularis oris and 197 ± 41 µV in the orbicularis oculi. The application of continuous stimulation with burr and surgical instruments using the AMNS is feasible and effective for FN stimulation and identification.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32151184</pmid><doi>10.1177/0194599820907912</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; SAGE Complete A-Z List; Wiley Online Library All Journals |
| subjects | Electromyography facial nerve Facial Nerve - physiology Humans intraoperative neurophysiological monitoring Magnetic Phenomena mastoidectomy Monitoring, Intraoperative Otologic Surgical Procedures |
| title | Application of Attachable Magnetic Nerve Stimulator in Intraoperative Facial Nerve Monitoring during Ear Surgery |
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