HNO · 2004
[Neurophysiologic intraoperative monitoring to preserve cranial nerve function in base of skull surgery].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schipper J, Ridder G J, Arapakis I, Gellrich N-C, Spetzger U, Maier W
Аннотация
BACKGROUND: Neurophysiologic intraoperative monitoring (NIM) has gone through a renaissance since the advent of computer technology. Currently, both motor and sensory cranial nerves, including the IInd and VIIIth cranial nerves, can be intraoperatively controlled by means of small and mobile systems.
PATIENTS AND METHODS: In order to estimate the value of NIM using the new generation of computer systems, we analyzed the records of 379 patients who underwent skull base surgery since 1996. These comprised NIM of the IInd, VIIth, VIIIth cranial nerves in most cases and of the IXth, Xth, XIth, and XIIth cranial nerves in selected cases.
RESULTS: Whereas 72% of these cases demonstrated changes in the recorded intraoperative NIM signals, only 29% of them gave evidence of either clinical or electrophysiological neural function alterations during the postoperative follow-up.
CONCLUSIONS: NIM is the only available system capable of providing the surgeon with instant intraoperative neural status-related feedback.
PATIENTS AND METHODS: In order to estimate the value of NIM using the new generation of computer systems, we analyzed the records of 379 patients who underwent skull base surgery since 1996. These comprised NIM of the IInd, VIIth, VIIIth cranial nerves in most cases and of the IXth, Xth, XIth, and XIIth cranial nerves in selected cases.
RESULTS: Whereas 72% of these cases demonstrated changes in the recorded intraoperative NIM signals, only 29% of them gave evidence of either clinical or electrophysiological neural function alterations during the postoperative follow-up.
CONCLUSIONS: NIM is the only available system capable of providing the surgeon with instant intraoperative neural status-related feedback.
Предметные рубрики MeSH
Computer SystemsCranial Nerve InjuriesElectrodesElectroretinographyEvoked Potentials, AuditoryEvoked Potentials, MotorEvoked Potentials, VisualHumansIntraoperative ComplicationsMonitoring, IntraoperativeOptic NerveOptic Nerve InjuriesOtorhinolaryngologic NeoplasmsPoint-of-Care SystemsPostoperative ComplicationsReaction TimeReference ValuesReproducibility of ResultsRetrospective StudiesRisk FactorsSignal Processing, Computer-AssistedSkull Base NeoplasmsVestibulocochlear NerveVestibulocochlear Nerve Injuries