CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Otorinolaryng. a Foniat., /Prague/, 54, 2005, č. 1, s.3–9. |
Peroperation Electromyographic Monitoring in Cranial
Base Surgery Vachata P., Sameš M., Ceé J., Bartoš R. Neurochirurgické oddělení, Masarykova nemocnice, Ústí nad Labem, přednosta oddělení prim. MUDr. M. Sameš, CSc. |
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Summary: One of the goals of cranial base surgery is to save functional integrity of head nerves and
thereby to prevent serious postoperation complications. The peroperation electromyography is
based on recording evoked and spontaneous activity from muscles innervated with individual nerves.
The monitoring helps the surgeon to improve orientation in the operation field and to localize
the course of the nerve even in anatomically changed conditions. The peroperation EMG demonstrably
improves functional results and decreases the total period of operation. The presence of preserved
evoked EMG response together with its electrophysiological characteristics (amplitude,
latency, minimal stimulation threshold) may be used for prediction of postoperation function.
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