Intraoperative neurological monitoring

Nowadays Intraoperative neurophysiological monitoring (IOM) is an essential part of many surgical procedures. Cost-effectiveness analysis supports facial nerve monitoring in mastoid and middle ear surgery. Innovative methods of cranial nerve monitoring using techniques such as intraoperative F wave and transcranial electric motor evoked potential measurement are being investigated but have yet to be widely adopted in Otolaryngology. The latter technique is used in neurosurgery and vascular surgery and provides the advantage of not relying on the irritating stimulus of the nerve, but rather a stimulation of the cerebral cortex. Their use may be limited by the requirement for only intravenous anesthetic agents because of the suppression of the signal when inhalational agents are used.

  • Electroencephalography
  • Parotidectomy
  • Micro and macro simulation
  • Neurophysiology

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