Clinical Usefulness of a Special Mosquito Clamp for Intraoperative Facial Nerve Monitoring for Tumors of the Parotid Gland and Parapharyngeal Space

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  • Tokumaru Yutaka
    Department of Otolaryngology,National Hospital Organization Tokyo Medical Center
  • Habu Noboru
    Department of Otolaryngology,National Hospital Organization Tokyo Medical Center
  • Shindo Akihito
    Department of Otolaryngology,National Hospital Organization Tokyo Medical Center
  • Kaga Kimitaka
    National Hospital Organization Tokyo Medical Center National Institute of Sensory Organs
  • Fujii Masato
    National Hospital Organization Tokyo Medical Center National Institute of Sensory Organs

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Other Title
  • 耳下腺腫瘍および副咽頭間隙腫瘍手術における顔面神経モニタリング用剥離鉗子の有用性
  • 機器 耳下腺腫瘍および副咽頭間隙腫瘍手術における顔面神経モニタリング用剥離鉗子の有用性
  • キキ ジカセン シュヨウ オヨビ フクイントウ カンゲキ シュヨウ シュジュツ ニ オケル ガンメン シンケイ モニタリングヨウ ハクリ カンシ ノ ユウヨウセイ

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Abstract

Surgery of parotid gland and parapharyngeal tumors is one of the most common operations and identification and functional preservation of the facial nerve are considered to be important procedure in these operations. We developed a special mosquito clamp for facial nerve monitoring during dissection. This clamp is connected to a Nerve Integrity Monitoring System (NIM-Response® 2.0, Medtronic USA). By using this clamp, we can always monitor the facial nerve function during tissue dissection without the stimulating probe. We report herein on the clinical usefulness of the monitoring mosquito clamp and NIM system to preserve the facial nerve function in 10 cases of parotid gland and parapharyngeal tumor. Facial nerve function was well preserved in all cases, thus this monitoring clamp and NIM system are very useful for the preservation of facial nerve function during parotid and parapharyngeal tumor surgery.<br>

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