Titlebook: Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery; Joseph Scharpf,Gregory W. Randolph Book 2022 The Editor(s

Factual

Basic and Advanced Electrophysiology, Setup, and Anesthesias in head and neck surgery that can result in voice problems, several preventative techniques have been developed. Routine perioperative visual identification of the RLN has been shown to result in a reduced incidence of RLN injury, but postoperative morbidity due to nerve compromise may still occur

拱形大桥

Anesthetic Considerations and Setup for Cranial Nerve Monitoringsing IONM in their practice. The chapter begins with anesthetic considerations that modulate neural responses and highlights the importance of partnering with the anesthesia team to ensure successful monitoring. Then, an in-depth review of the equipment and setup to perform high-quality monitoring o

挖掘

Neural Injury Mechanisms this chapter compares the two major classifications of nerve injury by Seddon and Sunderland. With these, the potential for recovery and regeneration is also discussed. The mechanisms for nerve injury are reviewed, including compression, ischemia, ligation, thermal, traction, and transection. Lastl

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Neuromonitoring Usage Patterns and Educationg has been particularly acute in the areas of ear, thyroid, and parotid surgery. Training with IONM in residency and fellowship programs is now mandated by a number of educational oversight groups. This reflects how integral IONM has become in surgical otolaryngology.

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ectropion

Methods of Recurrent Laryngeal Nerve Monitoringh temporary and permanent. The standard of care for prevention of nerve injury involves routine preoperative laryngoscopy followed by intraoperative identification and preservation of the recurrent laryngeal nerve as described in the 2015 ATA guidelines. However, a visually intact nerve does not alw

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观察

Intraoperative Cranial Nerve Monitoring in Otolaryngology – Head and Neck Surgeryo monitor the entire RLN and vagus nerve functional integrity continuously during thyroid surgery, alerting the surgeon to any hazardous maneuver and making nerve restoration possible. Several clinical series show no evidence of adversity related to the circular dissection of a vagus nerve segment o

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