{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T05:02:11Z","timestamp":1739854931021,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T00:00:00Z","timestamp":1730332800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Currently no data exist on what distance from facial nerve (FN) it is safe to perform bipolar cautery (BC) in parotid surgery, although frequently performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The degree of damage was measured using continuous intraoperative neuromonitoring (cIONM, NIM\u2122 3, Medtronic) in 16 Wistar rats. Amplitude drop of at least 50% (A<jats:sub>50<\/jats:sub>) or a loss of signal (LOS) in the cIONM was defined as harmful; BC was performed in power range 20\u201360\u2009W.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>BC \u226430\u2009W did not cause LOS (0\/14 nerves). When applying 35\u2009W, A<jats:sub>50<\/jats:sub> occurred at 4\u2009mm from FN and LOS was noted in 1 of 5 nerves. BC at a power of 40 to 60\u2009W demonstrated LOS in all nerves (12\/12) at a 5\u2009mm distance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>BC up to 30\u2009W can be safely applied up to 3\u2009mm distance from FN. 40 to 60\u2009W should be avoided and used only at a distance of over 6\u2009mm from FN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA\/animal study. <jats:italic>Laryngoscope<\/jats:italic>, 135:1120\u20131126, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31883","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T10:49:47Z","timestamp":1730371787000},"page":"1120-1126","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safe distance from facial nerve for bipolar coagulation in parotid surgery\u2014Animal 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