Facial Nerve Monitoring in Acoustic Tumor Surgery
Anatomic and functional preservation of the facial nerve during acoustic tumor surgery remains a primary goal. Intraoperative electromyographic facial nerve monitoring with auditory feedback has enabled the surgeon to more readily achieve this goal. We compared a group of monitored translabyrinthine...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 1991-06, Vol.104 (6), p.814-817 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Kwartler, Jed A. Luxford, William M. Atkins, James Shelton, Clough |
| description | Anatomic and functional preservation of the facial nerve during acoustic tumor surgery remains a primary goal. Intraoperative electromyographic facial nerve monitoring with auditory feedback has enabled the surgeon to more readily achieve this goal. We compared a group of monitored translabyrinthine acoustic tumor removals (N = 89) to a similar unmonltored group (N = 155) in regard to facial nerve function. Function was assessed immediately postoperatively, at time of discharge, and at 1 year postoperatively using the House six-point scale. Results were grouped as satisfactory, intermediate, or poor and were analyzed by tumor size. Facial nerve results were better at all time intervals in the monitored groups, although the difference was not statistically significant at the 1-year interval. There was no difference between monitored and unmonitored patients in the subgroups with tumors smaller than 2.5 cm in diameter. This study supports the usefulness of intraoperative facial nerve monitoring in improving facial nerve results, particularly in larger tumors. |
| doi_str_mv | 10.1177/019459989110400608 |
| format | Article |
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Intraoperative electromyographic facial nerve monitoring with auditory feedback has enabled the surgeon to more readily achieve this goal. We compared a group of monitored translabyrinthine acoustic tumor removals (N = 89) to a similar unmonltored group (N = 155) in regard to facial nerve function. Function was assessed immediately postoperatively, at time of discharge, and at 1 year postoperatively using the House six-point scale. Results were grouped as satisfactory, intermediate, or poor and were analyzed by tumor size. Facial nerve results were better at all time intervals in the monitored groups, although the difference was not statistically significant at the 1-year interval. There was no difference between monitored and unmonitored patients in the subgroups with tumors smaller than 2.5 cm in diameter. This study supports the usefulness of intraoperative facial nerve monitoring in improving facial nerve results, particularly in larger tumors.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/019459989110400608</identifier><identifier>PMID: 1908973</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Ear Neoplasms - pathology ; Ear Neoplasms - surgery ; Electric Stimulation ; Electromyography - methods ; Facial Muscles - innervation ; Facial Nerve - physiopathology ; Facial Nerve Injuries ; Female ; Humans ; Intraoperative Complications - prevention & control ; Male ; Middle Aged ; Monitoring, Physiologic - methods ; Neuroma, Acoustic - pathology ; Neuroma, Acoustic - surgery</subject><ispartof>Otolaryngology-head and neck surgery, 1991-06, Vol.104 (6), p.814-817</ispartof><rights>1991 SAGE Publications</rights><rights>1991 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3894-ba6ed151e266ed41a5b1653dac10844a1400d4e16a6ce29ccbc447aa32f94c743</citedby><cites>FETCH-LOGICAL-c3894-ba6ed151e266ed41a5b1653dac10844a1400d4e16a6ce29ccbc447aa32f94c743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1177%2F019459989110400608$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1177%2F019459989110400608$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1908973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwartler, Jed A.</creatorcontrib><creatorcontrib>Luxford, William M.</creatorcontrib><creatorcontrib>Atkins, James</creatorcontrib><creatorcontrib>Shelton, Clough</creatorcontrib><title>Facial Nerve Monitoring in Acoustic Tumor Surgery</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Anatomic and functional preservation of the facial nerve during acoustic tumor surgery remains a primary goal. Intraoperative electromyographic facial nerve monitoring with auditory feedback has enabled the surgeon to more readily achieve this goal. We compared a group of monitored translabyrinthine acoustic tumor removals (N = 89) to a similar unmonltored group (N = 155) in regard to facial nerve function. Function was assessed immediately postoperatively, at time of discharge, and at 1 year postoperatively using the House six-point scale. Results were grouped as satisfactory, intermediate, or poor and were analyzed by tumor size. Facial nerve results were better at all time intervals in the monitored groups, although the difference was not statistically significant at the 1-year interval. There was no difference between monitored and unmonitored patients in the subgroups with tumors smaller than 2.5 cm in diameter. This study supports the usefulness of intraoperative facial nerve monitoring in improving facial nerve results, particularly in larger tumors.</description><subject>Adult</subject><subject>Aged</subject><subject>Ear Neoplasms - pathology</subject><subject>Ear Neoplasms - surgery</subject><subject>Electric Stimulation</subject><subject>Electromyography - methods</subject><subject>Facial Muscles - innervation</subject><subject>Facial Nerve - physiopathology</subject><subject>Facial Nerve Injuries</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Complications - prevention & control</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - methods</subject><subject>Neuroma, Acoustic - pathology</subject><subject>Neuroma, Acoustic - surgery</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFFLwzAUhYMoc07_gCD0ybdqbpsmjW9zOCfM7cH5HNI0GxltM5NV2b83pQMfBPHpXrjfOfdwELoGfAfA2D0GTjLOcw6ACcYU5ydoCJizmObATtGwA-KOOEcX3m9xYChjAzQAjnPO0iGCqVRGVtFCu08dvdrG7K0zzSYyTTRWtvV7o6JVW1sXvbVuo93hEp2tZeX11XGO0Pv0aTWZxfPl88tkPI9VmoevhaS6hAx0QsNCQGYF0CwtpQKcEyIhBC6JBiqp0glXqlCEMCnTZM2JYiQdodved-fsR6v9XtTGK11VstEhl2AJznieZgFMelA5673Ta7FzppbuIACLrifxu6cgujm6t0Wtyx9JX0y4P_T3L1Ppwz8cxXK2eJziFLIu-n0v9nKjxda2rglN_RXnG_CrfyE</recordid><startdate>199106</startdate><enddate>199106</enddate><creator>Kwartler, Jed A.</creator><creator>Luxford, William M.</creator><creator>Atkins, James</creator><creator>Shelton, Clough</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><scope>8BM</scope></search><sort><creationdate>199106</creationdate><title>Facial Nerve Monitoring in Acoustic Tumor Surgery</title><author>Kwartler, Jed A. ; Luxford, William M. ; Atkins, James ; Shelton, Clough</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3894-ba6ed151e266ed41a5b1653dac10844a1400d4e16a6ce29ccbc447aa32f94c743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ear Neoplasms - pathology</topic><topic>Ear Neoplasms - surgery</topic><topic>Electric Stimulation</topic><topic>Electromyography - methods</topic><topic>Facial Muscles - innervation</topic><topic>Facial Nerve - physiopathology</topic><topic>Facial Nerve Injuries</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Complications - prevention & control</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic - methods</topic><topic>Neuroma, Acoustic - pathology</topic><topic>Neuroma, Acoustic - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwartler, Jed A.</creatorcontrib><creatorcontrib>Luxford, William M.</creatorcontrib><creatorcontrib>Atkins, James</creatorcontrib><creatorcontrib>Shelton, Clough</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><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwartler, Jed A.</au><au>Luxford, William M.</au><au>Atkins, James</au><au>Shelton, Clough</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Facial Nerve Monitoring in Acoustic Tumor Surgery</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>1991-06</date><risdate>1991</risdate><volume>104</volume><issue>6</issue><spage>814</spage><epage>817</epage><pages>814-817</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Anatomic and functional preservation of the facial nerve during acoustic tumor surgery remains a primary goal. Intraoperative electromyographic facial nerve monitoring with auditory feedback has enabled the surgeon to more readily achieve this goal. We compared a group of monitored translabyrinthine acoustic tumor removals (N = 89) to a similar unmonltored group (N = 155) in regard to facial nerve function. Function was assessed immediately postoperatively, at time of discharge, and at 1 year postoperatively using the House six-point scale. Results were grouped as satisfactory, intermediate, or poor and were analyzed by tumor size. Facial nerve results were better at all time intervals in the monitored groups, although the difference was not statistically significant at the 1-year interval. There was no difference between monitored and unmonitored patients in the subgroups with tumors smaller than 2.5 cm in diameter. This study supports the usefulness of intraoperative facial nerve monitoring in improving facial nerve results, particularly in larger tumors.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>1908973</pmid><doi>10.1177/019459989110400608</doi><tpages>4</tpages></addata></record> |
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| ispartof | Otolaryngology-head and neck surgery, 1991-06, Vol.104 (6), p.814-817 |
| issn | 0194-5998 1097-6817 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Ear Neoplasms - pathology Ear Neoplasms - surgery Electric Stimulation Electromyography - methods Facial Muscles - innervation Facial Nerve - physiopathology Facial Nerve Injuries Female Humans Intraoperative Complications - prevention & control Male Middle Aged Monitoring, Physiologic - methods Neuroma, Acoustic - pathology Neuroma, Acoustic - surgery |
| title | Facial Nerve Monitoring in Acoustic Tumor Surgery |
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