Nim facial nerve


Intraoperative facial nerve monitoring in the surgery of cerebellopontine angle tumors: Facial nerve monitoring parameters as a predictor of postoperative facial nerve outcomes after vestibular schwannoma resection. The size of our series did not allow us to detect differences among subgroups. The use of the facial nerve monitor to map the facial nerve in the absence of the nerve's visual identification is unreliable and fraught with hazard. Facial nerve outcome in acoustic tumor surgery. These signals can be explained by the persistence of a fibrous layer that is in contact with the nerve.
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MEDTRONIC NIM RESPONSE 1.0 & 2.0 nerve monitors, surgical

Contraindications Patients with benign tumors who are at high anesthetic risk may be observed on a case-by-case basis. If preoperative FNA is nondiagnostic, intraoperative frozen-section evaluation can be used to establish the diagnosis in most cases. Imaging can provide useful clues to the relation between the tumor and the facial nerve. Given the higher percentage of electrically dehiscent facial nerves as compared to surgically apparent dehiscent facial nerves, this study further confirms the utility of the NIM in identifying vulnerable facial nerves in middle ear and mastoid surgery. Surgery of the Thyroid and Parathyroid Glands. If a tumor must be removed from the deep lobe via a lateral approach as with a tumor invading between nerve branches from the superficial lobe , some authors advocate selective division of some nerve branches with immediate reanastomosis after tumor removal to avoid stretching branches and causing permanent dysfunction.
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Nerve Monitoring Products - NIM Nerve Monitor System | Medtronic

Indications Neoplasms are the most common indication for parotidectomy. The next branch is then followed, and so forth, until all branches in the area of the tumor are dissected free and the tumor is mobilized for removal. Standardization of intraoperative neuromonitoring of recurrently laryngeal nerve in thyroid operation. Mass extends to superficial surface of gland, but uninvolved parotid is seen between mass and mandible.
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Parotidectomy

Nim facial nerve



Description: If not approved, please exit this site. Whenever possible, tumors should be resected with a margin of normal parotid tissue to prevent recurrence. Routine monitoring had the greatest effectiveness and lowest cost; it was associated with an average quality-adjusted life years QALY of If the nerve must be cut, it can be marked with a stitch to facilitate reapproximation at the conclusion of the case.

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