These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Facial nerve outcome with a peroperative stimulation threshold under 0.05 mA.
    Author: Marin P, Pouliot D, Fradet G.
    Journal: Laryngoscope; 2011 Nov; 121(11):2295-8. PubMed ID: 22020881.
    Abstract:
    OBJECTIVES/HYPOTHESIS: To evaluate the facial nerve outcome postoperatively of schwannoma vestibular surgery with a stimulation threshold (ST) lower than 0.05 mA. STUDY DESIGN: Retrospective chart review. METHODS: A total of 106 patients had undergone schwannoma vestibular surgery between 2002 and 2008 in a tertiary center. The ST near the brainstem was obtained after the tumor removal. Facial nerve function was evaluated according to the House-Brackmann (HB) scale immediately postoperatively and at 1 year. The results were compared among the different STs used: <0.05 mA, 0.05 mA, and >0.05 mA. RESULTS: There were 50 patients who had an ST <0.05 mA, 45 patients who had an ST of 0.05 mA, and 11 patients who had a ST >0.05 mA. Immediately postoperatively, for all of these groups we had a preservation of facial nerve function (HB I-II) in 94%, 80%, and 36% of patients, respectively (P < .0001). At 1 year in the same groups the preservation of the facial nerve function was 100%, 93%, and 82% of patients, respectively (P < .01). CONCLUSIONS: A proximal ST of <0.05 mA is a better predictor of facial nerve function immediately postoperatively.
    [Abstract] [Full Text] [Related] [New Search]