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Advances in Vestibular Schwannoma Microneurosurgery: Improving Results with New Technologies

Intraoperative Identification 9 and Location of Facial Nerve: Type of Facial Nerve Displacement - How to Use Monopolar Stimulator

Publication ,  Chapter
Mastronardi, L; Campione, A; Zomorodi, A; Di Scipio, E; Adornetti, A; Fukushima, T
January 25, 2019

Intraoperative facial nerve monitoring (IOFNM) is a neurophysiological method whose main purpose is to inform the surgical team of the actual neural function—and, indirectly, of the position—of the facial nerve (N VII) so that the operative strategy can be consequently adjusted to avoid neural damage. The most commonly used—and therefore defined as “standard”—IOFNM techniques are direct electrical stimulation (DES) and free-running electromyography (EMG). DES allows for proper tracing of the course of N VII; the types of displacement reported have been correlated to tumor size and capsule adhesiveness in diverse studies. Functional changes in the activity of N VII—as detected by DES and EMG—also have a role in assessing postoperative functional prognosis. The technique of facial motor evoked potentials (FMEPs) is the most promising and latest frontier method in IOFNM as it surpasses most of the disadvantages of standard techniques.

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DOI

ISBN

9783030031664

Publication Date

January 25, 2019

Start / End Page

83 / 94
 

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Mastronardi, L., Campione, A., Zomorodi, A., Di Scipio, E., Adornetti, A., & Fukushima, T. (2019). Intraoperative Identification 9 and Location of Facial Nerve: Type of Facial Nerve Displacement - How to Use Monopolar Stimulator. In Advances in Vestibular Schwannoma Microneurosurgery: Improving Results with New Technologies (pp. 83–94). https://doi.org/10.1007/978-3-030-03167-1_9
Mastronardi, L., A. Campione, A. Zomorodi, E. Di Scipio, A. Adornetti, and T. Fukushima. “Intraoperative Identification 9 and Location of Facial Nerve: Type of Facial Nerve Displacement - How to Use Monopolar Stimulator.” In Advances in Vestibular Schwannoma Microneurosurgery: Improving Results with New Technologies, 83–94, 2019. https://doi.org/10.1007/978-3-030-03167-1_9.
Mastronardi L, Campione A, Zomorodi A, Di Scipio E, Adornetti A, Fukushima T. Intraoperative Identification 9 and Location of Facial Nerve: Type of Facial Nerve Displacement - How to Use Monopolar Stimulator. In: Advances in Vestibular Schwannoma Microneurosurgery: Improving Results with New Technologies. 2019. p. 83–94.
Mastronardi, L., et al. “Intraoperative Identification 9 and Location of Facial Nerve: Type of Facial Nerve Displacement - How to Use Monopolar Stimulator.” Advances in Vestibular Schwannoma Microneurosurgery: Improving Results with New Technologies, 2019, pp. 83–94. Scopus, doi:10.1007/978-3-030-03167-1_9.
Mastronardi L, Campione A, Zomorodi A, Di Scipio E, Adornetti A, Fukushima T. Intraoperative Identification 9 and Location of Facial Nerve: Type of Facial Nerve Displacement - How to Use Monopolar Stimulator. Advances in Vestibular Schwannoma Microneurosurgery: Improving Results with New Technologies. 2019. p. 83–94.
Journal cover image

DOI

ISBN

9783030031664

Publication Date

January 25, 2019

Start / End Page

83 / 94