PDF(Pubmed)
Abstract：
UNASSIGNED: Even though the use of nerve monitoring during parotid gland surgery is not the gold standard to prevent damage to the nerve, it surely offers some advantages over the traditional approach. Different from thyroid surgery, where a series of steps in intraoperative nerve monitoring have been described to confirm not only the integrity but-most importantly-the function of the recurrent laryngeal nerve, in parotid gland surgery, a formal guideline to follow while dissecting the facial nerve has yet to be described.
UNASSIGNED: A five-year retrospective study was done reviewing the intraoperative records of patients who underwent parotid gland surgery under neural monitoring. The operative findings regarding the neuromonitoring process, particularly in regard to the amplitude of two main branches, were revised. A literature search was done to search for guidelines to follow when a facial nerve loss of signal is encountered.
UNASSIGNED: Fifty-five patients were operated on using the Nim 3 Nerve Monitoring System (Medtronic); 31 were female patients, and 47 patients had benign lesions. Minimum changes were observed in the amplitude records after a comparison was made between the first and the last stimulation. There were only three articles discussing the term loss of signal during parotid gland surgery.
UNASSIGNED: Today, no sufficient attention has been given to the facial nerve monitoring process during parotidectomy. This study proposes a formal guideline to follow during this procedure as well as an instruction to consider when a loss of signal is observed to develop a uniform technique of facial nerve stimulation.
UNASSIGNED: A five-year retrospective study was done reviewing the intraoperative records of patients who underwent parotid gland surgery under neural monitoring. The operative findings regarding the neuromonitoring process, particularly in regard to the amplitude of two main branches, were revised. A literature search was done to search for guidelines to follow when a facial nerve loss of signal is encountered.
UNASSIGNED: Fifty-five patients were operated on using the Nim 3 Nerve Monitoring System (Medtronic); 31 were female patients, and 47 patients had benign lesions. Minimum changes were observed in the amplitude records after a comparison was made between the first and the last stimulation. There were only three articles discussing the term loss of signal during parotid gland surgery.
UNASSIGNED: Today, no sufficient attention has been given to the facial nerve monitoring process during parotidectomy. This study proposes a formal guideline to follow during this procedure as well as an instruction to consider when a loss of signal is observed to develop a uniform technique of facial nerve stimulation.
摘要：
■即使在腮腺手术期间使用神经监测不是防止神经受损的金标准，与传统方法相比，它无疑提供了一些优势。与甲状腺手术不同,术中神经监测的一系列步骤被描述为不仅确认喉返神经的完整性，而且最重要的是确认喉返神经的功能，在腮腺手术中，尚未描述解剖面神经时要遵循的正式指南。
■进行了一项为期五年的回顾性研究，回顾了在神经监测下接受腮腺手术的患者的术中记录。关于神经监测过程的手术发现，特别是关于两个主要分支的振幅，已修订。进行了文献检索，以寻找遇到面神经信号丢失时要遵循的指南。
■使用Nim3神经监测系统（Medtronic）对55例患者进行了手术；31例为女性患者，47例患者有良性病变。在第一次和最后一次刺激之间进行比较后，在幅度记录中观察到最小变化。只有三篇文章讨论了腮腺手术中信号丢失的术语。
■今天，腮腺切除术中面神经监测过程没有给予足够的重视。这项研究提出了在此过程中应遵循的正式指南，以及在观察到信号丢失时考虑的指导，以开发统一的面神经刺激技术。
■进行了一项为期五年的回顾性研究，回顾了在神经监测下接受腮腺手术的患者的术中记录。关于神经监测过程的手术发现，特别是关于两个主要分支的振幅，已修订。进行了文献检索，以寻找遇到面神经信号丢失时要遵循的指南。
■使用Nim3神经监测系统（Medtronic）对55例患者进行了手术；31例为女性患者，47例患者有良性病变。在第一次和最后一次刺激之间进行比较后，在幅度记录中观察到最小变化。只有三篇文章讨论了腮腺手术中信号丢失的术语。
■今天，腮腺切除术中面神经监测过程没有给予足够的重视。这项研究提出了在此过程中应遵循的正式指南，以及在观察到信号丢失时考虑的指导，以开发统一的面神经刺激技术。
