Article

Electrophysiologic facial nerve monitoring during parotidectomy

Division of Head and Neck and Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
Head & Neck (Impact Factor: 2.64). 11/2009; 32(3):399-405. DOI: 10.1002/hed.21190
Source: PubMed

ABSTRACT

Facial nerve monitoring is an adjunctive method available to a surgeon during parotid surgery to assist with the functional preservation of the facial nerve. This review describes the goals, applications, technique, and benefits of electrophysiologic facial nerve monitoring during parotid surgery. A review and analysis of the relevant medical literature related to electrophysiologic facial nerve monitoring during parotid surgery are included.

Download full-text

Full-text

Available from: Lisa A Orloff
  • [Show abstract] [Hide abstract]
    ABSTRACT: Eine Xerostomie ist am häufigsten Folge einer medikamentösen Therapie insbesondere bei Medikamenten mit anticholinerger Wirkkomponente. Ebenso kann es nach Bestrahlung der Mund- und Rachenschleimhaut sowie des Halses und bei rheumatischen Erkrankungen (insbesondere beim Sjögren- Syndrom) zu Mundtrockenheit kommen. Auch bei einer Hepatitis C-Infektion kommt es häufig zu einem Sjögren-ähnlichen Krankheitsbild. Diese und weitere Ursachen einer Xerostomie wurden in einem Review von Napenas et al. (1) nochmals zusammengefasst.
    No preview · Article · Jan 2009
  • Source

    Full-text · Article · Jan 2010
  • [Show abstract] [Hide abstract]
    ABSTRACT: Facial palsy (FP) is a feared complication of parotidectomy. Facial nerve monitoring (FNM) has been poorly evaluated since it was created at the beginning of the 90's. The authors described a retrospective series and discussed it reviewing the literature data. From January 2002 to January 2009, 75 parotidectomies were performed in 72 patients (34 males, 38 females), without FNM in 28 cases (group 1) and with FNM in 47 cases (group 2). In group 1, 9 FP were noted, 5 were transient and 4 were definitive. In group 2, 12 FP were noted, 9 were transient and 3 were definitive. Both one month and six months after parotidectomy, the FP rate was significatively higher in group 1 than in group 2 for the reoperations. Facial nerve monitoring is an adjunctive method available to a surgeon during parotid surgery to assist with the functional preservation of the facial nerve. It did not allow to improve the facial prognosis in benign tumours removal but it improved the facial prognosis in reoperations. Its interest should be tested for malignant tumour removal.
    No preview · Article · Jan 2010 · Revue de laryngologie - otologie - rhinologie
Show more