Parotid Surgery
Fibres of the facial nerves are at risks during interventions near the parotid gland. Damaging these nerves can lead to paralysis of the mimic face muscles and of the muscles and glands innerved by the facial nerve. Monitoring the facial nerve can reduce the risk of such injuries.
Here the facial nerve is first stimulated for localisation (prior to entry into the resection area) and later for function control (after withdrawal from the resection area). Afterwards following muscle answer is recorded at the corresponding muscles, orbicular oculi and orbicular oris muscles.
It is recommended to perform continuous EMG monitoring without direct nerve stimulation. Thus spontaneous activity by mechanical manipulation of the nerve is established.
Following devices can be used for monitoring:
- C2 NerveMonitor
- CLEO Nerve Monitor
- NeMo NeuroMonitor
- ISIS Touch System
Stimulation Probes and Cables
inomed stimulation and recording probes have been especially developed for use during thyroid surgery. They are available as single use or autoclavable instruments. Following links lead you directly to a wide range of stimulation probes and cables as well as electrodes for recording and stimulation.