OBJECTIVE: The present study proposes an evolution of an intraoperative video-based facial nerve monitoring system for otologic and otoneurosurgical procedures in comparison with classical electromyographic (EMG) monitoring method. STUDY DESIGN: Single-subject design study. SETTING: Tertiary referral center, university clinic. PATIENTS: Fifteen patients undergoing a translabyrinthine approach for removal of 2 cm or less acoustic neuroma. INTERVENTION: Intraoperative monitoring during acoustic neuroma removal. MAIN OUTCOME MEASURES: Measurement of mouth angle displacement and EMG peak amplitude at different stimulation intensities were measured and compared to evaluate the validity and reliability of the proposed new system. RESULTS: The electrophysiologic method has been shown to be slightly more sensitive, although it shows limitations especially in terms of electrical artifacts during cauterization, totally masking the EMG monitoring. CONCLUSION: The present version of video system can be considered as valid and reliable as EMG; its main advantages are the absence of electrical artifacts, less invasivity, and much less cost.
New development in intraoperative video monitoring of facial nerve: a pilot study / DE SETA, Elio; Bertoli, Gian Antonio; DE SETA, Daniele; Covelli, Edoardo; Filipo, Roberto. - In: OTOLOGY & NEUROTOLOGY. - ISSN 1531-7129. - 31(9):(2010), pp. 1498-1502. [10.1097/MAO.0b013e3181f20822]
New development in intraoperative video monitoring of facial nerve: a pilot study.
DE SETA, Elio;BERTOLI, Gian Antonio;DE SETA, DANIELE;COVELLI, EDOARDO;FILIPO, Roberto
2010
Abstract
OBJECTIVE: The present study proposes an evolution of an intraoperative video-based facial nerve monitoring system for otologic and otoneurosurgical procedures in comparison with classical electromyographic (EMG) monitoring method. STUDY DESIGN: Single-subject design study. SETTING: Tertiary referral center, university clinic. PATIENTS: Fifteen patients undergoing a translabyrinthine approach for removal of 2 cm or less acoustic neuroma. INTERVENTION: Intraoperative monitoring during acoustic neuroma removal. MAIN OUTCOME MEASURES: Measurement of mouth angle displacement and EMG peak amplitude at different stimulation intensities were measured and compared to evaluate the validity and reliability of the proposed new system. RESULTS: The electrophysiologic method has been shown to be slightly more sensitive, although it shows limitations especially in terms of electrical artifacts during cauterization, totally masking the EMG monitoring. CONCLUSION: The present version of video system can be considered as valid and reliable as EMG; its main advantages are the absence of electrical artifacts, less invasivity, and much less cost.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.