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• W3137604625 abstract "Objectives/Hypothesis Facial nerve monitoring (FNM) has evolved into a widely used adjunct for many surgical procedures along the course of the facial nerve. Even though majority opinion holds that FNM reduces the incidence of iatrogenic nerve injury, there are few if any studies yielding high-level evidence and no practice guidelines on which clinicians can rely. Instead, a review of the literature and medicolegal cases reveals significant variations in methodology, training, and clinical indications. Study Design Literature review and expert opinion. Methods Given the lack of standard references to serve as a resource for FNM, we assembled a multidisciplinary group of experts representing more than a century of combined monitoring experience to synthesize the literature and provide a rational basis to improve the quality of patient care during FNM. Results Over the years, two models of monitoring have become well-established: 1) monitoring by the surgeon using a stand-alone device that provides auditory feedback of facial electromyography directly to the surgeon, and 2) a team, typically consisting of surgeon, technologist, and interpreting neurophysiologist. Regardless of the setting and the number of people involved, the reliability of monitoring depends on the integration of proper technical performance, accurate interpretation of responses, and their timely application to the surgical procedure. We describe critical steps in the technical set-up and provide a basis for context-appropriate interpretation and troubleshooting of recorded signals. Conclusions We trust this initial attempt to describe best practices will serve as a basis for improving the quality of patient care while reducing inappropriate variations. Level of Evidence 4 Laryngoscope, 131:S1–S42, 2021" @default.
• W3137604625 created "2021-03-29" @default.
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• W3137604625 date "2021-03-17" @default.
• W3137604625 modified "2023-10-18" @default.
• W3137604625 title "Best Practices in Facial Nerve Monitoring" @default.
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• W3137604625 doi "https://doi.org/10.1002/lary.29459" @default.
• W3137604625 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33729584" @default.
• W3137604625 hasPublicationYear "2021" @default.
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