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ENT and Anterior Neck Surgery

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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Abstract

This chapter describes the types of monitoring modalities that may be used for ear, nose, and throat (ENT) and anterior neck surgery, the structures at risk, and the methods to monitor these structures to prevent iatrogenic damage and injury caused by surgical trauma. The different monitors that may be used for these particular procedures are suggested, but not absolutely recommended, as the type of monitoring used depends on the particular approach or procedure.

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    Asterisk indicates key reference.

References

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  1. *Attias J, Nageris B, Ralph J, Vajda J, Rappaport ZH. Hearing preservation using combined monitoring of extra-tympanic electrocochleography and auditory brainstem responses during acoustic neuroma injury. Int J Audiol. 2008;47:178–84.

    Google Scholar 

  2. Legatt AD. Mechanisms of intraoperative brainstem auditory evoked potential changes. J Clin Neurophysiol. 2002;19(5):396–408.

    Article  PubMed  Google Scholar 

  3. Schwaber MK, Hall JW. Intraoperative electrocochleography. In: Kartush JM, Bouchard KR, editors. Neuromonitoring in otology and head and neck surgery. 1st ed. New York: Raven; 1992. p. 215–28.

    Google Scholar 

  4. Prass RL, Luders H. Acoustic (loudspeaker) facial electromyographic (EMG) monitoring II: use of evoked EMG activity during acoustic neuroma resection. Neurosurgery. 1986;19:392–400.

    Article  CAS  PubMed  Google Scholar 

  5. *Akagami R, Dong CC, Westerberg BD. Localized transcranial electric motor evoked potentials for monitoring cranial nerves in cranial base surgery. Neurosurgery. 2005;57:78–85.

    Google Scholar 

  6. Dong CCJ, MacDonald DB, Akagami R, Westerberg B, Alkhani A, Kanaan I, Hassounah M. Intraoperative facial motor evoked potential monitoring with transcranial electric stimulation during skull base surgery. Clin Neurophysiol. 2005;116:588–96.

    Article  PubMed  Google Scholar 

  7. *Matthies C, Raslan F, Schweitzer T, Hagen R, Roosen K, Reiners K. Facial motor evoked potentials in cerebellopontine angle surgery: technique, pitfalls and predictive value. Clin Neurol Neurosurg. 2011;113(10):872–9.

    Google Scholar 

  8. *Nakao Y, Piccirillo E, Falcioni M, Taibah A, Kobayashi T, Sanna M. Electromyographic evaluation of facial nerve damage in acoustic neuroma surgery. Otol Neurotol. 2001;22(4):554–7.

    Google Scholar 

  9. *Holland NR. Intraoperative electromyography. J Clin Neurophysiol. 2002;19(5):444–53.

    Google Scholar 

  10. Isley MR, Edmonds HL, Stecker M. Guidelines for intraoperative neuromonitoring using raw (analog or digital waveforms) and quantitative electroencephalography: a position statement by the American Society of Neurophysiological Monitoring. J Clin Monit Comput. 2008;23:369–90.

    Article  Google Scholar 

  11. *Dralle H, Sekulla C, Haerting J, Timmermann W, Neumann HJ, Kruse E, et al. Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery. 2002;136:1310–22.

    Google Scholar 

  12. Randolph GW, Dralle H, International Intraoperative Monitoring Study Group, Abdullah H, Barczynski M, Bellantone R, et al. Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement. Laryngoscope. 2001;121:S1–16.

    Google Scholar 

  13. American Encephalographic Society. Statement on the clinical use of quantitative EEG. J Clin Neurophysiol. 1987;4:87.

    Google Scholar 

  14. Cheng MA, Theard MA, Templehoff R. Anesthesia for carotid endarterectomy: a survey. J Neurosurg Anesthesiol. 1997;9:211–6.

    Article  CAS  PubMed  Google Scholar 

  15. Nuwer MR. Intraoperative electroencephalography. J Clin Neurophysiol. 1993;10:437–44.

    Article  CAS  PubMed  Google Scholar 

  16. Clute HL, Levy WJ. Electroencephalographic changes during brief cardiac arrest in humans. Anesthesiology. 1990;73:821–5.

    Article  CAS  PubMed  Google Scholar 

  17. Craft RM, Losasso TJ, Perkins WJ, et al. EEG monitoring for cerebral ischemia during carotid endarterectomy (CEA): how much is enough? Anesthesiology. 1994;81:A213.

    Article  Google Scholar 

  18. *Morimoto Y, Monden Y, Ohtake K, Sakabe T, Hagihira S. The detection of cerebral hypoperfusion with bispectral index monitoring during general anesthesia. Anesth Analg. 2005;100:158–61.

    Google Scholar 

  19. Nuwer MR. Evoked potential monitoring in the operating room. New York: Raven; 1986. p. 5–48.

    Google Scholar 

  20. Kartush JM, Bouchard KR. Neuromonitoring in otology and head and neck surgery. New York: Raven; 1997. p. 114.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Loyola University Health System, 2160 South First Avenue, Maywood, IL, 60153, USA

    W. Scott Jellish M.D., Ph.D. & Michail Avramov M.D., Ph.D.

Authors
  1. W. Scott Jellish M.D., Ph.D.
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  2. Michail Avramov M.D., Ph.D.
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Corresponding author

Correspondence to W. Scott Jellish M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Departments of Anesthesiology, Neurological Surgery and Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Antoun Koht

  2. Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA

    Tod B. Sloan

  3. Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois, USA

    J. Richard Toleikis

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

An example of neurotonic train activity during light plane of anesthesia (mov 1011 kb)

Resolution of the increase in EMG activity with deepening the anesthesia (mov 1349 kb)

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Jellish, W.S., Avramov, M. (2017). ENT and Anterior Neck Surgery. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Cham. https://doi.org/10.1007/978-3-319-46542-5_29

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  • DOI: https://doi.org/10.1007/978-3-319-46542-5_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46540-1

  • Online ISBN: 978-3-319-46542-5

  • eBook Packages: MedicineMedicine (R0)

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