Contemporary Changes with the Use of Facial Nerve Monitoring in Chronic Ear Surgery

被引:11
作者
Hu, Jinwei [1 ]
Fleck, Terry R. [2 ]
Xu, Jane [1 ]
Hsu, Jeffrey V. [3 ]
Xu, Helen X. [1 ]
机构
[1] Loma Linda Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Loma Linda, CA 92354 USA
[2] Kaiser Permanente, Riverside Med Ctr, Riverside, CA USA
[3] Albert Einstein Coll Med, Dept Otolaryngol Head & Neck Surg, Bronx, NY 10467 USA
关键词
facial nerve monitoring; chronic ear surgery; OTOLOGIC SURGERY; STANDARD; PATTERNS;
D O I
10.1177/0194599814537223
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective There is a growing trend for the routine use of the facial nerve monitor (FNM) in chronic ear surgery. We aimed to examine current patterns in the use of FNMs in chronic ear surgery. Study Design Descriptive design (survey). Setting Academic health center. Methods A 10-question survey was designed to identify level of training, scope of practice, specific otologic surgeries where monitoring was most used, and the opinion of respondents regarding the use of FNMs as standard of care for chronic and/or middle ear surgery. A randomized list of 2000 board-certified members of the American Academy of OtolaryngologyHead and Neck Surgery was generated. One thousand subjects received a mailed survey with a self-addressed return envelope and 1000 subjects received an emailed survey through Surveymonkey.com. Results There were 359 (36%) surveys returned by mail and 258 (26%) surveys returned electronically. Forty-three percent of respondents were in private practice, and 31% were fellowship trained in otology/neurotology. Sixty-five percent used a FNM in their training and 95% had regular access to a FNM. Revision mastoid surgery, cholesteatoma, canal wall down mastoidectomy, and facial recess approach were the settings where a FNM was most used. Forty-nine percent of respondents felt that a FNM should be used as the standard of care in chronic ear surgery; this represents an increase from 32% in a similar study done approximately 10 years ago. Conclusion There is a growing trend for routine facial nerve monitoring in the setting of chronic ear surgery.
引用
收藏
页码:473 / 477
页数:5
相关论文
共 16 条
  • [1] BENECKE JE, 1987, LARYNGOSCOPE, V97, P697
  • [2] Goldsmith LS, 1986, MED MALPRACTICE GUIE
  • [3] Facial nerve monitoring in chronic ear surgery: US practice patterns
    Greenberg, JS
    Manolidis, S
    Stewart, MG
    Kahn, JB
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2002, 126 (02) : 108 - 114
  • [4] Is Facial Nerve Integrity Monitoring of Value in Chronic Ear Surgery?
    Heman-Ackah, Selena E.
    Gupta, Sachin
    Lalwani, Anil K.
    [J]. LARYNGOSCOPE, 2013, 123 (01) : 2 - 3
  • [5] A comparison of Web and mail survey response rates
    Kaplowitz, MD
    Hadlock, TD
    Levine, R
    [J]. PUBLIC OPINION QUARTERLY, 2004, 68 (01) : 94 - 101
  • [6] Patterns of use of facial nerve monitoring during parotid gland surgery
    Lowry, TR
    Gal, TJ
    Brennan, JA
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2005, 133 (03) : 313 - 318
  • [7] May M., 1986, FACIAL NERVE, V1st
  • [8] INTRAOPERATIVE ELECTROPHYSIOLOGICAL MONITORING OF THE FACIAL-NERVE - IS IT STANDARD OF PRACTICE
    ROLAND, PS
    MEYERHOFF, WL
    [J]. AMERICAN JOURNAL OF OTOLARYNGOLOGY, 1994, 15 (04) : 267 - 270
  • [9] Ruhl DS, 2013, OTOL NEUROTOL, V34, P1173, DOI 10.1097/MAO.0b013e318298a8fb
  • [10] SILVERSTEIN H, 1993, AM J OTOL, V14, P524