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听神经瘤切除术中面神经功能的保留。单极恒压刺激和肌电图的应用。

Preservation of facial function during removal of acoustic neuromas. Use of monopolar constant-voltage stimulation and EMG.

作者信息

Møller A R, Jannetta P J

出版信息

J Neurosurg. 1984 Oct;61(4):757-60. doi: 10.3171/jns.1984.61.4.0757.

DOI:10.3171/jns.1984.61.4.0757
PMID:6470787
Abstract

The authors describe a modification in the way the facial nerve is stimulated electrically during operations to remove medium and large-sized (greater than 2 cm) acoustic tumors. This consists of monopolar stimulation with low internal impedance. Proper use of this modified stimulation technique together with acoustic monitoring of the electromyographic responses of facial muscles helps to preserve facial nerve function in patients undergoing these operations, and also decreases the duration of the operation.

摘要

作者描述了在切除中大型(大于2厘米)听神经瘤的手术过程中对面神经进行电刺激方式的一种改进。这包括采用低内阻的单极刺激。正确使用这种改进的刺激技术并结合对面部肌肉肌电图反应的听觉监测,有助于在接受这些手术的患者中保留面神经功能,并且还能缩短手术时间。

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