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  Contents > Previous page > Article detail print Order
o Issue N# 1 - 2014 o

OTONEUROLOGY

Facial nerve monitoring during middle ear surgery: Results of a French survey


Authors : Mazzaschi O, Juvanon J-M, Mondain M, Lavieille J-P, Ayache D. (Paris)

Ref. : Rev Laryngol Otol Rhinol. 2014;135,1:11-17.

Article published in french
Downloadable PDF document french



Summary : Introduction: Facial nerve injury is a rare complication of middle ear surgery. To date there is no widely accepted consen­sus on the use of intraoperative facial nerve monitoring during middle ear surgery, whereas its use has been proved as a valua­ble adjunct in neurotologic surgery. The purpose of our study was to identify introperative facial nerve monitoring practice patterns in France for middle ear surgery. Methods: A 19-item survey has been made up by three experienced otologists under the auspices of the French Otology and Neurotology Associa­tion. With the support of the French Society of Otolaryngology - Head and Neck Surgery, the survey was electronically sent by email to 1249 practicing ENT with a valid email address. Answers were analyzed two months later. Results: Among 1249 email sent, 299 were opened (24%) and 83 answers were collected (6,6%). Of the respondents, 66% had access to intra­operative facial nerve monitoring. Otolaryngologists involved in academic setting were influenced by their teaching duty in 27%. Intraoperative facial nerve monitoring should not be required for stapes surgery, ossiculoplasty, myringoplasty for, respectively, 92%, 93 % and 98% of the respondents. In cochlear implantation, 78% of ear surgeons used facial nerve monitoring. Answers were more controversial for chronic ear surgery, ear atresia and middle ear implant. Revision surgery and CT scan can influence answers. Conclusion: Despite a low response rate, results of this national survey revealed interes­ting findings. For most of the respondents, intraoperative facial nerve monitoring was not indicated in stapes surgery, myringo­plasty and ossiculoplasty. The use of intraoperative facial nerve monitoring for cochlear implantation was supported by the majority of respondents. Variations in response rate were more significant for chronic ear surgery, including middle ear choles­tea­toma, and for ear atresia surgery.


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