Facial nerve monitoring in skull base surgery

The purpose of this work was to compare pre- and post-operative facial nerve function between unmonitored and monitored cases of skull base lesions. The study involved 32 patients suffering from lateral skull base tumours (10 unmonitored and 22 monitored). Facial nerve function was monitored intraop...

Full description

Saved in:
Bibliographic Details
Published in:Journal of laryngology and otology 1994-07, Vol.108 (7), p.557-559
Main Authors: Magliulo, Giuseppe, Petti, Roberto, Vingolo, Gianluca Maria, Cristofari, Piera, Ronzoni, Roberta
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
electromyography
Electromyography - instrumentation
facial nerve
Facial Nerve - physiology
Female
Humans
Main Articles
Male
Medical sciences
Middle Aged
Monitoring, Intraoperative - methods
Neurosurgery
Postoperative Period
Preoperative Care
Retrospective Studies
Skull - surgery
Skull base
Skull Neoplasms - pathology
Skull Neoplasms - surgery
Skull, brain, vascular surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The purpose of this work was to compare pre- and post-operative facial nerve function between unmonitored and monitored cases of skull base lesions. The study involved 32 patients suffering from lateral skull base tumours (10 unmonitored and 22 monitored). Facial nerve function was monitored intraoperatively by an acoustic facial electromyographic system (NIM-2). Post-operative facial function was graded according to the House-Brackmann scale. In the group of monitored cases, facial nerve function was normal (Grade 1 or 2) in 79 per cent of the patients, while the unmonitored patients showed normal function in only 50 per cent of the cases. These results confirm previous observations that audible evoked electromyographic monitoring significantly reduces permanent facial nerve dysfunction.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100127410