title: Intraoperative facial nerve monitoring in chronic ear surgery: a resident training experience.
abstract: Intraoperative facial nerve monitoring has been accepted as a valuable adjunctive modality to be employed in a variety of neurotologic and skull base surgical procedures. However, the role that electrical or mechanical stimulation assessment plays in chronic ear surgery is less well defined, especially in a residency training program. In this study, 250 consecutive operative cases of chronic otitis media, with and without cholesteatoma were monitored with the Xomed-Treace Nerve Integrity Monitor, NIM-2 system. Data regarding electrophysiologic monitoring parameters; electromechanical artifact, including system failure; and surgical outcome were analyzed. Although not a substitute for anatomic identification of the facial nerve, intraoperative monitoring provides an additional technique to optimize resident surgical education.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Ohio 45267-528.
authors.forename: M L
authors.initials: ML
authors.lastname: Pensak
authors.forename: J P
authors.initials: JP
authors.lastname: Willging
authors.forename: R W
authors.initials: RW
authors.lastname: Keith
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D004423:Ear / Q000601:surgery*; D004427:Ear Diseases / Q000601:surgery*; D005154:Facial Nerve / Q000502:physiology*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D010036:Otolaryngology / Q000193:education