INDICATIONS FOR CRANIAL NERVE MONITORING DURING OTOLOGIC AND NEUROTOLOGIC SURGERY
作者:
Derald Brackmann,
Barry Hirsch,
Jack Kartush,
John Niparko,
Samuel Selesnick,
Herbert Silverstein,
Robert Jackler,
Samuel Selesnick,
期刊:
The American Journal of Otology
(OVID Available online 1994)
卷期:
Volume 15,
issue 5
页码: 611-613
ISSN:0192-9763
年代: 1994
出版商: OVID
数据来源: OVID
摘要:
AGENDA: The primary focus of this panel was to explore the attitudes of a group of experienced otologic surgeons on the utility of contemporary cranial nerve monitoring techniques. The emphasis was not upon how to do cranial nerve monitoring (CNM), but rather for which procedures the panelists felt it to be useful and their reasons for holding these beliefs. An attempt was made to categorize the panelist's viewpoints according to whether, for any given procedure, they felt that the value of CNM was (1) well proved through outcome analysis of comparative data derived from monitored and unmonitored cases, (2) well proved through anecdotal experience, (3) promising, but as of yet unproved, or (4) unhelpful or otherwise not indicated. At the outset, the panel was cautioned that its mandate was not to attempt to establish a “standard of care” for the use of CNM, but rather to share their own personal attitudes toward the utility of this surgical tool as a means of educating fellow otologic surgeons on the relevant issues to consider. It is anticipated that each practitioner will use the insights of these panelists, along with their own experience, to help arrive at an informed decision as to the utility and criteria for selective application of CNM to employ in their own practice.
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