Neuromonitoring in Otology and Head and Neck Surgery

Neuromonitoring in Otology and Head and Neck Surgery PDF

Author: Jack M. Kartush

Publisher: Lippincott Williams & Wilkins

Published: 1992

Total Pages: 276

ISBN-13:

DOWNLOAD EBOOK →

This clinical reference on neurophysiologic monitoring during otologic, skull base, and head and neck surgery, is aimed at guiding surgeons in the use of intraoperative monitoring to reduce the risk of neural injury and should enable neurophysiologists, EEG technicians, audiologists, and neurologists to utilize their diagnostic testing skills in the operating room. A group of leading experts details the principles of intraoperative neurophysiologic monitoring, the capabilities and limitations of current monitoring modalities, the technical and interpretive problems that arise in the operating room, the electrophysiology of cranial nerves that are at risk during surgery, and the applications of neurophysiologic monitoring during specific surgical procedures. To enable all specialists to quickly access the information they need, the book covers basic electrophysiology and clinical applications separately. A helpful chapter on working in the operating room is also included.

Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery

Intraoperative Cranial Nerve Monitoring in Otolaryngology-Head and Neck Surgery PDF

Author: Joseph Scharpf

Publisher: Springer Nature

Published: 2022-01-03

Total Pages: 214

ISBN-13: 3030849163

DOWNLOAD EBOOK →

This book covers the scope of cranial nerve monitoring of all cranial nerves that are of practical importance in head, neck, and thyroid surgery. It discussed enhanced patient outcomes in a wide array of surgical procedures in the head and neck that require the maintenance of complex regional functions by protecting cranial nerve integrity. Organized into four parts, the book begins with Part I offering historical perspectives on the subject while simultaneously reviewing various basic and advanced electrophysiology. Part II thoroughly reviews the extra-temporal bone facial nerve (CN VII), Glossopharyngeal Nerve (CN IX), Vagal/Recurrent Laryngeal Nerve (CN X), Spinal Accessory Nerve (CN XI), and Hypoglossal Nerve (CN XII). Subsequent chapters in Part III provide a complete and applied understanding of the neurophysiological principles that facilitate the surgeon’s ability to monitor any nerve and intraoperative neural stimulation and nerve monitoring. The book presents various techniques as the standard of care to provide optimal neural detection, understand the neural functional real-time status during surgery and optimize specific surgical outcomes such as thyroid surgical outcomes. Closing chapters offer essential conversations regarding ethical considerations in nerve monitoring and medical malpractice. Filling a gap in the literature, Intraoperative Cranial Nerve Monitoring in Otolaryngology: Head and Neck Surgery provides a single source for surgeons who wish to optimize their outcomes in patient care and accelerate their learning curve to the level of more experienced surgeons.

Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery

Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery PDF

Author: Alexander L. Shifrin

Publisher: Springer Nature

Published: 2023-07-03

Total Pages: 106

ISBN-13: 3031246136

DOWNLOAD EBOOK →

This comprehensive atlas is the modern, state-of-the-art guide for intraoperative neurophysiologic monitoring (IONM) and management of the recurrent laryngeal nerve, vagus nerve and other cranial nerves at risk during thyroid, parathyroid and modified radical neck dissection surgery. Based on real-time electrophysiologic images, it will assist the surgeon in the decision-making process by incorporating important information related to the identification of the nerves and their functional status, aiding in the interpretation and improvement of the quality of neural monitoring and reducing inappropriate variations in monitoring technique. Utilization of IONM enables the surgeon to interrogate nerve anatomy and function with immediate quantitative feedback, thereby augmenting surgical training, and importantly, surgical skills and sound anatomic knowledge remain prerequisite and are not supplanted by IONM use. Authored by experts in the field, Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery will be the gold-standard text for IONM for endocrine surgeons, otolaryngology surgeons, neurophysiologists, and head and neck surgeons, as well as fellows and residents in these areas.

The Audiologist's Handbook of Intraoperative Neurophysiological Monitoring

The Audiologist's Handbook of Intraoperative Neurophysiological Monitoring PDF

Author: Paul Kileny

Publisher: Plural Publishing

Published: 2018

Total Pages: 0

ISBN-13: 9781597563437

DOWNLOAD EBOOK →

What is intraoperative neuropsyiological monitoring? How did this discipline evolve? Why is there a need for this clinical specialty? How does one function in the operating room? What are potential pitfalls and how does one resolve them? How does one get trained in intraoperative monitoring? These are just a few of the questions that arise when the term "intraoperative neuromonitoring" is mentioned. The purpose of this book is to provide satisfactory answers to these questions and more by addressing fundamental issues pertaining to intraoperative monitoring, in particular within the framework of clinical audiology. The focus is on neural functions that are most likely encountered by audiologists in conjunction with otology/neurotology and head-and-neck surgery operations, such as auditory function and motor cranial nerve function monitoring. While the facial nerve receives the most attention, other cranial nerves are also discussed in conjunction with certain operative procedures. The book includes descriptions of surgical procedures along with the appropriate neuromonitoring protocols. The author's hope is that the contents of this book will be instructive and that the book will engender sufficient interest and curiosity so that the reader will endeavor to seek additional information about this interesting, growing and clinically effective field. While this book is intended primarily for audiology students and practicing audiologists, its contents will be of assistance and interest to other health care providers seeking information about intraoperative monitoring.

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring PDF

Author: Josef Zentner

Publisher: Springer

Published: 2023-12-20

Total Pages: 0

ISBN-13: 9783031461248

DOWNLOAD EBOOK →

Intraoperative neurophysiological monitoring (IONM) has gained increasing interest during the past decades and is now an integral part of various surgical disciplines, especially in neurosurgery, but also in otolaryngology, orthopedics, vascular surgery and general surgery. With expanding applications and evolving techniques, the monitoring team is faced with increasingly complex tasks and responsibilities. Despite its importance and significance in modern surgical medicine and the expectations associated with it, IONM is still not a regular part of the training program of medical professionals. Although knowledge on monitoring is imparted in basic courses offered by a few professional societies, systematic training of medical and non-medical staff according to a standardized curriculum is still lacking.This book aims to contribute to closing this gap. It provides a practical guide to help medical, nursing, and technical personnel get familiar with intraoperative neuromonitoring. The basic tenor is to combine theoretical and practical knowledge and thus to systematically convey essential skills about fundamentals, possibilities, but also limitations of IONM to a broad circle of readers. In order to achieve this goal, the text has been reduced to the absolutely necessary length in favor of numerous illustrations and tables. After an introduction to the tasks, the significance, and the historical development of IONM, the anatomical, physiological and physical basics are presented. This is followed by a presentation of various modalities as well as stimulation and recording techniques. The intraoperative part begins with some information on the organizational processes in the operating room, the presentation of safety aspects, and a description of the influences of anesthesia on monitoring, including the special aspects of awake surgery. This is followed by some basic remarks on the interpretation of monitoring results and a rough overview of the application fields of IONM in various disciplines including representative case examples. The manual concludes with an evaluation of the efficiency of monitoring and practical recommendations for the detection and elimination of intraoperative sources of error. Self-tests in individual chapters are intended to give readers the opportunity to determine their level of knowledge.

Anesthesia for Otolaryngologic Surgery

Anesthesia for Otolaryngologic Surgery PDF

Author: Basem Abdelmalak

Publisher: Cambridge University Press

Published: 2012-10-18

Total Pages: 371

ISBN-13: 1139789481

DOWNLOAD EBOOK →

Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.

Intraoperative Neurophysiologic Monitoring

Intraoperative Neurophysiologic Monitoring PDF

Author: Gloria M. Galloway

Publisher: Cambridge University Press

Published: 2010-10-28

Total Pages: 257

ISBN-13: 1139492748

DOWNLOAD EBOOK →

Intraoperative neurophysiologic monitoring has shown a steady increase in use for surgeries in which neural structures may be at risk of injury. Some of the surgical techniques used carry inherent risks, and these risks have changed the way in which neurophysiologic monitoring has impacted patient safety and quality of care during surgical procedures. It is therefore crucial that those performing and interpreting intraoperative neurophysiologic monitoring are adequately trained. This book is a comprehensive guide to the current practice of intraoperative neurophysiology with chapters on various modalities and clinical uses. Separate chapters devoted to anesthesia, operating room environment, special considerations in pediatrics and the interpretation and reporting of neurophysiologic data are useful and complementary. Questions and detailed answers on the topics covered can be found on the accompanying website for study review. This book will be useful to the trainee as well as the neurophysiologist already in practice.