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Best Practices in Facial Nerve Monitoring.

Jack M Kartush1, Kent S Rice2, Robert E Minahan3

  • 1Michigan Ear Institute, Farmington Hills, Michigan, U.S.A.

The Laryngoscope
|March 17, 2021
PubMed
Summary
This summary is machine-generated.

Facial nerve monitoring (FNM) lacks high-level evidence and guidelines. This review synthesizes expert opinion to establish best practices, aiming to improve patient care and reduce variations in FNM methodology.

Keywords:
Facial nerve monitoringbest practicesfacial electromyogramfacial nerve stimulationtechnical set-up

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Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Surgical Monitoring

Background:

  • Facial nerve monitoring (FNM) is widely used in surgeries involving the facial nerve.
  • Despite its common use, high-level evidence and practice guidelines for FNM are scarce.
  • Significant variations exist in FNM methodology, training, and indications.

Purpose of the Study:

  • To synthesize existing literature and expert opinion on Facial Nerve Monitoring (FNM).
  • To provide a rational basis for improving the quality of patient care during FNM procedures.
  • To establish best practices and reduce inappropriate variations in FNM.

Main Methods:

  • Literature review and expert consensus.
  • Assembly of a multidisciplinary expert group with extensive FNM experience.
  • Synthesis of information to provide a basis for FNM best practices.

Main Results:

  • Two established FNM models exist: surgeon-based auditory feedback and a multidisciplinary team approach.
  • Reliability of FNM depends on technical performance, accurate interpretation, and timely application.
  • Critical steps for technical setup, interpretation, and troubleshooting are described.

Conclusions:

  • This work represents an initial effort to define best practices for FNM.
  • The described best practices aim to enhance patient care quality.
  • The goal is to reduce inappropriate variations in the clinical application of FNM.