The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery

Mehmet Akdağ; Ediz Argun Yorgancılar; Muzeyyen Yıldırım Baylan

doi:10.5798/dicletip.661392

The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery

Abstract

Objective: Our aim in conducting this clinical study that project was to investigate the surgical safety of facial nerve monitoring along with its effects on the duration of the operation in otologic and neurotologic surgery. Methods: We have used intraoperative monitoring and stimulation of facial nerve function routinely in 161 cochlear surgery, and 10 neurotologic cases. Statistical study was performed only in otologic patients. The 171 patients who underwent surgery, of the remaning 30 otologic surgery cases were randomly selected that were monitered. The remaining 30 otologic surgery cases were not monitored and compared statistically for the duration of the operation and the emerging complications. Results: Of the study patients; no responses were detected in seven despite the stimulation. Response occurred only after increasing the amplitude of the stimulation current in two patients. In the remaining 162 patients, the responses were detected. Of the seven patients, in whom no responses were detected; electrode contact was lost in three, nerve fatigue was found in two, and muscle-relaxant use for anesthesia was detected in one patient; while, no causes were identified in one patient. Despite the presence of responses, a transient postoperative paresis was observed in one patient. In cochlear implant patients, the mean duration of surgery was 2.35 hours without monitoring; whereas, it was 1.45 hours in monitored patients. Conclusion: We are of the opinion that this technological method may contribute significantly to obtaining electrophysiologic data, as well as ensuring the safety of the operation and reducing the complication rates.

Keywords

Facial nerve,Facial nerve monitoring

References

1. Green JD, Shelton C, Brackmann DE. Iatrogenic facial nerve injury during otologic surgery. Laryngoscope. 1994; 104: 922-6.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Mehmet Akdağ
0000-0003-1377-4227
Türkiye

Ediz Argun Yorgancılar This is me
0000-0003-1941-0627
Türkiye

Muzeyyen Yıldırım Baylan This is me
0000-0002-7537-1733
Türkiye

Publication Date

December 15, 2019

Submission Date

October 4, 2019

Acceptance Date

November 4, 2019

Published in Issue

Year 2019 Volume: 46 Number: 4

DOI

https://doi.org/10.5798/dicletip.661392

IZ

https://izlik.org/JA77LN66HR

Cite

RIS / Bibtex

APA

Akdağ, M., Yorgancılar, E. A., & Yıldırım Baylan, M. (2019). The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery. Dicle Medical Journal, 46(4), 807-812. https://doi.org/10.5798/dicletip.661392

AMA

1.Akdağ M, Yorgancılar EA, Yıldırım Baylan M. The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery. Dicle Medical Journal. 2019;46(4):807-812. doi:10.5798/dicletip.661392

Chicago

Akdağ, Mehmet, Ediz Argun Yorgancılar, and Muzeyyen Yıldırım Baylan. 2019. “The Use Of Fasial Stımilator in Cochlear Implant and Fasial Tumor Surgery”. Dicle Medical Journal 46 (4): 807-12. https://doi.org/10.5798/dicletip.661392.

EndNote

Akdağ M, Yorgancılar EA, Yıldırım Baylan M (December 1, 2019) The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery. Dicle Medical Journal 46 4 807–812.

IEEE

[1]M. Akdağ, E. A. Yorgancılar, and M. Yıldırım Baylan, “The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery”, Dicle Medical Journal, vol. 46, no. 4, pp. 807–812, Dec. 2019, doi: 10.5798/dicletip.661392.

ISNAD

Akdağ, Mehmet - Yorgancılar, Ediz Argun - Yıldırım Baylan, Muzeyyen. “The Use Of Fasial Stımilator in Cochlear Implant and Fasial Tumor Surgery”. Dicle Medical Journal 46/4 (December 1, 2019): 807-812. https://doi.org/10.5798/dicletip.661392.

JAMA

1.Akdağ M, Yorgancılar EA, Yıldırım Baylan M. The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery. Dicle Medical Journal. 2019;46:807–812.

MLA

Akdağ, Mehmet, et al. “The Use Of Fasial Stımilator in Cochlear Implant and Fasial Tumor Surgery”. Dicle Medical Journal, vol. 46, no. 4, Dec. 2019, pp. 807-12, doi:10.5798/dicletip.661392.

Vancouver

1.Mehmet Akdağ, Ediz Argun Yorgancılar, Muzeyyen Yıldırım Baylan. The Use Of Fasial Stımilator in Cochlear implant and Fasial Tumor Surgery. Dicle Medical Journal. 2019 Dec. 1;46(4):807-12. doi:10.5798/dicletip.661392