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- W2354097312 abstract "Objective To explore the significance of intraoperative auditory monitoring(IAM) in the cerebellopontine angle(CPA) surgery. Methods Auditory brainstem response(ABR) and cochlear nerve action potential(CNAP) were used to monitor the auditory function intraoperatively in 26 patients with a variety of CPA lesions.Serviceable hearing existed and waves of ABR were well evoked in all patients.Six patients(23.1%) were performed acoustic neuroma removal with hearing preservation,14(53.8%) partial trigeminal rhizotomy,3(11.5%) vestibular neurotomy,and 3(11.5%) CPA mass removal. Results The auditory function of 26 patients was monitored by ABR.During the surgeries,IAMs were successfully performed in 21 patients(80.8%) with their hearing preserved,but failed in 2 patients(7.7%),and absence of ABR was presented in 3 acoustic neuromas(11.5%).Fifteen patients were monitored by both ABR and CNAP.Because of the latency delay,papaverine was used in ten patients,among whom 7 were successfully recovered.Conclusion Surgeries involving CPA can benefit from IAM.The cochlear nerve can be orientated by CNAP.Papaverine can be used to partially recover the latency delay of wave V,mitigate the hearing damage,and reduce the incidence of postoperative hearing loss.ABR and CNAP should be used together in IAM." @default.
- W2354097312 created "2016-06-24" @default.
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- W2354097312 date "2007-01-01" @default.
- W2354097312 modified "2023-09-23" @default.
- W2354097312 title "Intraoperative auditory monitoring in cerebellopontine angle surgery" @default.
- W2354097312 hasPublicationYear "2007" @default.
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