Issues in the optimal selection of a cranial nerve monitoring system. Academic Article uri icon

Overview

abstract

  • Intraoperative nerve monitoring (IONM) is a safe technique that is of clear clinical value in the preservation of cranial nerves in skull base surgery and is rapidly becoming the standard of care. Available nerve monitoring systems vary widely in capabilities and costs. A well-informed surgeon may best decide on monitoring needs based on surgical case selection, experience, operating room space, availability of monitoring personnel, and cost. Key system characteristics that should be reviewed in the decision-making process include the monitoring technique (electromyography, pressure transducer, direct nerve monitoring, brainstem auditory evoked potential) and the stimulus technique (stimulating parameters, probe selection). In the past, IONM has been primarily employed in posterior fossa and temporal bone surgery, but the value of IONM is being recognized in more skull base and head and neck surgeries. Suggested IONM strategies for specific surgeries are presented.

publication date

  • January 1, 1993

Identity

PubMed Central ID

  • PMC1656448

Scopus Document Identifier

  • 0027431948

Digital Object Identifier (DOI)

  • 10.1055/s-2008-1060588

PubMed ID

  • 17170916

Additional Document Info

volume

  • 3

issue

  • 4