Use of an intra-operative nerve stimulator in identifying the hypoglossal nerve.
Previously, the hypoglossal nerve has not undergone intra-operative monitoring during neck operations in which the nerve is at risk. As society becomes increasingly litigious, this may change. This study describes the technique and the microvoltages used in 10 patients for intra-operative stimulation of the hypoglossal nerve with the Magstim nerve stimulator. We confirm that the technique is possible, simple and safe, with minimal disturbance to the patient, anaesthetist and surgeon.
Walshe
Peter
P
Department of Otolaryngology, Beaumont Hospital, Dublin, Ireland. Peterwalshe2002@yahoo.co.uk
Shandilya
Munish
M
Rowley
Helena
H
Zahirovich
Avdo
A
Walsh
Rory McConn
RM
Walsh
Michael
M
Timon
Conrad
C
D004558:Electric Stimulation / Q000295:instrumentation / Q000379:methods*; D004566:Electrodes; D006801:Humans; D007002:Hypoglossal Nerve / Q000502:physiology*; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods*; D037981:Neck Dissection / Q000379:methods*; D010865:Pilot Projects; D012307:Risk Factors