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面神经减压手术中的电子温度监测

Electronic temperature monitoring during the decompression surgery of the facial nerve.

作者信息

Paula Patricia M C, Rodrigues Suelia S R, Altoe Mirella Lorrainy, Santos Larissa S, Rocha Adson F

机构信息

Electrical Engineering Department, University of Brasilia, Brazil.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2010;2010:1186-9. doi: 10.1109/IEMBS.2010.5625990.

Abstract

Despite of its apparent protection by being located deep in a bony canal, the facial nerve is a cranial pair of nerves more vulnerable to traumatic injuries. The surgical accidents are the most frequent causes of intratemporal complications of the facial nerve. Among the postoperative sequelae, the thermal injuries are common due to overheating of the otologic burr resulting in facial paralysis. For the prevention of thermal injuries in the facial nerve was designed a data acquisition board to obtain the temperature measured by thermocouples using a PC and parallel communication. The signals from the temperature sensors passed through conditioning for amplification and analog to digital data conversion. Afterwards, they were stored on a computer for the statistical analysis and the visualization of the curves of variation of the measured temperatures. These curves provide the verification of the facial nerve temperature ascending and descending time during surgery steps to access the nerve. These data provide a substantial safe working margin to the surgeon.

摘要

尽管面神经位于骨管深处,看似受到保护,但它是一对颅神经,更容易受到创伤性损伤。手术意外是面神经颞内并发症最常见的原因。在术后后遗症中,由于耳科钻过热导致面部麻痹,热损伤很常见。为了预防面神经热损伤,设计了一个数据采集板,通过个人电脑和并行通信获取热电偶测量的温度。温度传感器的信号经过调理以进行放大和模拟到数字的数据转换。之后,它们被存储在计算机上,用于统计分析和测量温度变化曲线的可视化。这些曲线可验证手术中暴露神经步骤期间面神经温度的上升和下降时间。这些数据为外科医生提供了相当大的安全工作范围。

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