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Facial nerve monitoring among graduates of the Ear Research Foundation
M J Olds1, P T Rowan, J E Isaacson
1Ear Research Foundation, Sarasota, Florida, USA.
Objective:
This study aimed to evaluate the patterns of facial nerve monitoring among graduates of an otology fellowship in which monitoring is emphasized throughout training.
Study Design:
This study involved a questionnaire administered to graduates of the Ear Research Foundation, Sarasota, Florida, U.S.A. (otology/neurotology fellowship).
Setting:
The study was performed in academic and private practices of surveyed physicians.
Main Outcome Measures:
These included patterns of facial nerve monitor use and surgical results after facial nerve injuries.
Results:
Nearly 100% of the graduates of the Ear Research Foundation continue to use facial nerve monitoring routinely in otologic surgery. Five cases of facial nerve injury in surgery for long-term disease were reported for all 15 neurotologists surveyed.
Conclusion:
Routine facial nerve monitoring is not considered the standard of care in most communities; however risk of facial nerve injury appears to be greatly reduced when this adjunctive technique is employed.
