Chiang Feng-Yu, Lien Ching-Feng, Wang Chih-Chun, Wang Chien-Chung, Hwang Tzer-Zen, Shih Yu-Chen, Tseng Hsin-Yi, Wu Che-Wei, Huang Yaw-Chang, Huang Tzu-Yen
Department of Otolaryngology-Head and Neck Surgery, E-Da Hospital, Kaohsiung 824, Taiwan.
School of Medicine, College of Medicine, I-Shou University, Kaohsiung 824, Taiwan.
Diagnostics (Basel). 2022 Sep 30;12(10):2387. doi: 10.3390/diagnostics12102387.
Intraoperative facial nerve monitoring (FNM) has been widely accepted as an adjunct during parotid surgery to facilitate identification of the facial nerve (FN) main trunk, dissection of FN branches, confirmation of FN function integrity, detection of FN injury and prognostication of facial expression after tumor resection. Although the use of FNM in parotidectomy is increasing, little uniformity exists in its application from the literature. Thus, not only are the results of many studies difficult to compare but the value of FNM technology is also limited. The article reviews the current literature and proposes our standardized FNM procedures during parotid surgery, such as standards in FNM setup, standards in general anesthesia, standards in FNM procedures and application of stimulus currents, interpretation of electrophysiologic signals and prediction of the facial expression outcome and pre-/post-operative assessment of facial expressions. We hope that the FNM standardized procedures will provide greater uniformity, improve the quality of applications and contribute to future research.
术中面神经监测（FNM）已被广泛认可为腮腺手术中的一项辅助手段，有助于识别面神经（FN）主干、解剖FN分支、确认FN功能完整性、检测FN损伤以及预测肿瘤切除后面部表情。尽管FNM在腮腺切除术中的应用日益增多，但从文献来看，其应用缺乏一致性。因此，不仅许多研究结果难以比较，而且FNM技术的价值也受到限制。本文回顾了当前文献，并提出了我们在腮腺手术中标准化的FNM程序，如FNM设置标准、全身麻醉标准、FNM程序及刺激电流应用标准、电生理信号解读、面部表情结果预测以及面部表情的术前/术后评估。我们希望FNM标准化程序能提供更大的一致性，提高应用质量，并为未来研究做出贡献。
