Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Proposals for Standardization of Intraoperative Facial Nerve Monitoring during Parotid Surgery
oleh: Feng-Yu Chiang, Ching-Feng Lien, Chih-Chun Wang, Chien-Chung Wang, Tzer-Zen Hwang, Yu-Chen Shih, Hsin-Yi Tseng, Che-Wei Wu, Yaw-Chang Huang, Tzu-Yen Huang
Format: | Article |
---|---|
Diterbitkan: | MDPI AG 2022-09-01 |
Deskripsi
Intraoperative facial nerve monitoring (FNM) has been widely accepted as an adjunct during parotid surgery to facilitate identification of the facial nerve (FN) main trunk, dissection of FN branches, confirmation of FN function integrity, detection of FN injury and prognostication of facial expression after tumor resection. Although the use of FNM in parotidectomy is increasing, little uniformity exists in its application from the literature. Thus, not only are the results of many studies difficult to compare but the value of FNM technology is also limited. The article reviews the current literature and proposes our standardized FNM procedures during parotid surgery, such as standards in FNM setup, standards in general anesthesia, standards in FNM procedures and application of stimulus currents, interpretation of electrophysiologic signals and prediction of the facial expression outcome and pre-/post-operative assessment of facial expressions. We hope that the FNM standardized procedures will provide greater uniformity, improve the quality of applications and contribute to future research.