Intraoperative mapping and monitoring of sensory vagal fibers during vagal schwannoma resection

被引：8
|
作者：
Sinclair, Catherine F. [1 ]
Tellez, Maria J. [2 ]
Roldan, M. Angeles Sanchez [2 ]
Urken, Mark [3 ]
Ulkatan, Sedat [2 ]
机构：
[1] Mt Sinai West Hosp, Dept Otolaryngol Head & Neck Surg, New York, NY USA
[2] Mt Sinai West Hosp, Dept Intraoperat Neurophysiol, New York, NY USA
[3] Mt Sinai Beth Israel, Dept Otolaryngol Head & Neck Surg, New York, NY USA
来源：
LARYNGOSCOPE | 2019年 / 129卷 / 12期
关键词：
Neurolaryngology; swallowing; dysphagia; schwannoma; neural monitoring; ENUCLEATION; LARYNGEAL;
D O I：
10.1002/lary.28147
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Vagal schwannomas are rare, benign tumors. Intermittent intraoperative neuromonitoring via selective stimulation of splayed motor fibers running on the schwannoma surface to elicit a compound muscle action potential has been previously reported as a method of preserving vagal motor fibers. In this case report, vagal sensory fibers are mapped and continuously monitored intraoperatively during high vagus schwannoma resection using the laryngeal adductor reflex (LAR). Mapping of nerve fibers on the schwannoma surface enabled identification of sensory fibers. Continuous LAR monitoring during schwannoma subcapsular microsurgical dissection enabled sensory (and motor) vagal fibers to be monitored in real time with excellent postoperative functional outcomes.Laryngoscope, 129:E434-E436, 2019
引用
收藏
页码：E434 / E436
页数：3
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