The potential applicability of facial nerve monitoring as a navigation tool in parotid gland surgery

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dc.authoridTurhal, Goksel/0000-0003-0020-1921
dc.authoridHepkarsi, Sevinc/0000-0001-6608-4508
dc.authorscopusid56483289600
dc.authorscopusid57218676147
dc.authorscopusid37089441300
dc.contributor.authorTurhal, Goksel
dc.contributor.authorHepkarsi, Sevinc
dc.contributor.authorÖzturk, Kerem
dc.date.accessioned2024-08-25T18:47:50Z
dc.date.available2024-08-25T18:47:50Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractObjectives: The aim of this study was to assess the relationship between the stimulation amplitude and the distance to the facial nerve. Methods: This study was designed as a prospective clinical study. A total of 20 patients (12 males, 8 females) were included. Partial superficial parotidectomy was performed in all patients with intraoperative facial monitoring. Measurements were made on the main trunk and major branches. Stimulation was started at 1 mA and incrementally increased to 2 and 3 mA's. The shortest distance creating a robust response (>100 mV) was recorded. Results: At 1 mA, 2 mA and 3 mA stimulation intensity, the average distance between the tip of the stimulation probe and the main trunk was 2.20 +/- 0.76 mm (range 1-3 mm), 3.80 +/- 0.95 mm (range 2-5 mm), 4.80 +/- 1.05 mm (range 3-7 mm) respectively. The stimulus intensity was inversely proportional in respect to the distance between the nerve and the tip of the stimulus probe (P <.00). The same relation was present in the facial nerve major branch measurements (P <.00). Conclusion: The proportional stimulation amplitude and distance to the facial nerve is thought to be a reliable auxillary method to assist the surgeon by facilitating the estimation of the distance to the facial nerve during extracapsular dissection and minimally invasive cases where the facial nerve isn't routinely dissected. Level of evidence: Level 3. (c) 2022 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.en_US
dc.description.sponsorshipEge University Scientific Research Projects Department; [TGA-2020-21093]en_US
dc.description.sponsorshipThis study was supported by the Ege University Scientific Research Projects Department (Project ID: TGA-2020-21093) .en_US
dc.identifier.doi10.1016/j.bjorl.2022.02.008
dc.identifier.endpage234en_US
dc.identifier.issn1808-8694
dc.identifier.issn1808-8686
dc.identifier.issue2en_US
dc.identifier.pmid36127267en_US
dc.identifier.scopus2-s2.0-85138589251en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage230en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjorl.2022.02.008
dc.identifier.urihttps://hdl.handle.net/11454/102059
dc.identifier.volume89en_US
dc.identifier.wosWOS:001054431500001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAssoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacialen_US
dc.relation.ispartofBrazilian Journal of Otorhinolaryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240825_Gen_US
dc.subjectParotid surgeryen_US
dc.subjectFacial nerveen_US
dc.subjectIntraoperative facial monitoringen_US
dc.subjectElectromyographyen_US
dc.subjectPalsyen_US
dc.titleThe potential applicability of facial nerve monitoring as a navigation tool in parotid gland surgeryen_US
dc.typeArticleen_US

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