Intraoperative neuromonitoring in surgery of cervical neurogenic tumors
10.3760/cma.j.cn115330-20231120-00228
- VernacularTitle:术中运动神经监测在颈部神经源性肿瘤手术中的应用价值
- Author:
Junguo WANG
1
;
Yajun GU
;
Yuxuan XING
;
Xiaohui SHEN
;
Ya'nan WEI
;
Xia GAO
;
Xiaoyun QIAN
Author Information
1. 南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科 江苏省医学重点学科，南京 210008
- Keywords:
Schwannoma;
Intraoperative neuromonitoring;
Recurrent laryngeal nerve;
Brachial plexus nerve
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2024;59(3):233-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of intraoperative motor nerve monitoring in cervical neurogenic tumor surgery.Methods:The efficacy of intraoperative neuromonitoring (IONM) was analyzed retrospectively in 18 patients, including 6 males and 12 females, aged from 15 to 74 years, treated in Affiliated Drum Tower Hospital, Medical School of Nanjing University from June 2019 to September 2022 who underwent total cystectomy of cervical neurogenic tumors under intraoperative nerve monitoring.Results:All 18 patients had complete tumor removal, including 8 patients with tumors from the vagus nerve and 10 patients with tumors from the brachial plexus nerve. Postoperative nerve functions were normal in patients with tumors from brachial plexus nerve, and incomplete vocal cord paralysis occurred in 2 patients with tumors from vagus vagus nerve. The total incidence of motor nerve injury was 11.1% (2/18). All patients were followed up for 6 to 45 months, with no tumor recurrence.Conclusion:Intraoperative neuromonitoring has significant values in surgery of cervical neurogenic tumors, which is helpful to remove completely the tumors on the basis of protecting the nerve functions to the maximum extent.
