Beck D L, Benecke J E
St. Louis University Medical Center, MO 63110.
Otolaryngol Head Neck Surg. 1990 Mar;102(3):270-2. doi: 10.1177/019459989010200311.
Intraoperative facial nerve monitoring (FNM) is widely used as a method of assessing the anatomic and physiologic integrity of the facial nerve during procedures in which the nerve may be in jeopardy. The doctors of the Otologic Medical Group use intraoperative FNM during all neurotologic procedures. This technique can also be used for congenital ear surgery and complicated revision chronic ear surgery. On the basis of experience gained from more than 200 cases in which FNM has been used, definitive conclusions can be made in regard to technical aspects. This article will discuss indications for intraoperative FNM, electrode design, visual and auditory feedback, and the particulars about stimulators.
术中面神经监测（FNM）作为一种在面神经可能受到威胁的手术过程中评估面神经解剖和生理完整性的方法被广泛应用。耳科医疗集团的医生在所有耳科手术中都使用术中FNM。该技术也可用于先天性耳部手术和复杂的慢性耳部翻修手术。基于在200多例使用FNM的病例中获得的经验，可以就技术方面得出明确结论。本文将讨论术中FNM的适应证、电极设计、视觉和听觉反馈以及刺激器的相关细节。
