Abstract：
:Although the history of intraoperative neuromonitoring (IONM) dates back to the 19th century, the method did not evolve further than the mere differentiation of nerves until recently. Only the development of continuous IONM (cIONM) has allowed for non-stop analysis of excitation amplitude and latency during surgical procedures, which is nowadays integrated into the software of almost all commercially available neuromonitoring devices. The objective of cIONM is real-time monitoring of nerve status in order to recognize and prevent impending nerve injury and predict postoperative nerve function. Despite some drawbacks such as false-positive/negative alarms, technical artefacts, and rare adverse effects, cIONM remains a good instrument which is still under development. Active (acIONM) and passive (pcIONM) methods of cIONM are described in literature. The main fields of cIONM implementation are currently thyroid surgery (in which the vagal nerve is continuously stimulated) and surgery to the cerebellopontine angle (in which the facial nerve is either continuously stimulated or the discharge signal of the nerve is analyzed via pcIONM). In the latter surgery, continuous monitoring of the cochlear nerve is also established.
journal_name
HNOjournal_title
HNOauthors
Stankovic P,Wittlinger J,Georgiew R,Dominas N,Hoch S,Wilhelm Tdoi
10.1007/s00106-020-00824-1subject
Has Abstractpub_date
2020-08-01 00:00:00pages
86-92issue
Suppl 2eissn
0017-6192issn
1433-0458pii
10.1007/s00106-020-00824-1journal_volume
68pub_type
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