{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T08:19:15Z","timestamp":1772698755620,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,10,20]],"date-time":"2009-10-20T00:00:00Z","timestamp":1255996800000},"content-version":"vor","delay-in-days":5651,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[1994,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Methods of monitoring the facial nerve during posterior fossa surgery continue to evolve. In an effort to predict acute and final facial nerve function following acoustic neuroma resection, the lowest current applied to the facial nerve at the brainstem necessary to elicit facial muscle response was measured using strain gauge and electromyographic facial nerve monitors. A retrospective analysis of 121 patients who had undergone acoustic neuroma surgery was performed. Sixty\u2010five patients had intraoperative facial nerve monitoring and 44 had sufficient data for inclusion in this study. The acute and final facial nerve functions, according to the House\u2010Brackmann classification, were assessed with regard to intraoperative stimulation\u2010current thresholds. Nineteen of 20 patients who required 0.10 mA or less to elicit a facial muscle response had a House\u2010Brackmann grade I facial nerve outcome. The upper limit of the 95% confidence interval of stimulation threshold for patients with a final grade I facial nerve function is 0.17 mA. All of the patients in this study, with stimulation thresholds ranging up to 0.84 mA, had a final grade III or better result. A poor outcome in our series, a final grade III facial nerve function, is best predicted by a poor acute result, specifically an acute grade VI<jats:sub>A<\/jats:sub> facial nerve function. We suggest that it is possible to predict the facial nerve function based on intraoperative threshold testing.<\/jats:p>","DOI":"10.1002\/lary.5541040506","type":"journal-article","created":{"date-parts":[[2009,10,20]],"date-time":"2009-10-20T14:17:33Z","timestamp":1256048253000},"page":"539-544","source":"Crossref","is-referenced-by-count":53,"title":["Prediction of facial nerve function following acoustic neuroma resection using intraoperative facial nerve stimulation"],"prefix":"10.1002","volume":"104","author":[{"given":"Herbert","family":"Silverstein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Thomas O.","family":"Willcox Md","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth I.","family":"Rosenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D.","family":"Seidman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,10,20]]},"reference":[{"key":"e_1_2_1_2_2","volume-title":"Tumors of the Neruus Acusticus and the Syndrome of the Cerebellopontine Angle","author":"Cushing H.","year":"1917"},{"key":"e_1_2_1_3_2","first-page":"99","article-title":"Hearing Preservation After Acoustic Neuroma Surgery Using Intraoperative Direct Eighth Nerve Monitoring","volume":"6","author":"Silverstein H.","year":"1985","journal-title":"Am J Otol"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/01945998860953P104"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198707000-00001"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199006000-00009"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200211"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198711000-00007"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198706000-00009"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198807000-00007"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)61876-X"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1057002"},{"key":"e_1_2_1_13_2","unstructured":"Prasad S. Hirsch B.E. Kamerer D.B. et al.:Facial Nerve Function Following Cerebellopontine Angle Surgery: Prognostic Value of Intraoperative Thresholds.Am J Otol in press."},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400602"},{"key":"e_1_2_1_15_2","first-page":"19","volume-title":"Surgical Techniques of the Temporal Bone and Skull Base","author":"Silverstein H.","year":"1992"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_1_17_2","unstructured":"Silverstein H. Rosenberg S.I. Seidman M.D. et al.:Intraoperative Facial Nerve Monitoring in Acoustic Neuroma Surgery.Am J Otol in press."}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.5541040506","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.5541040506","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T03:05:59Z","timestamp":1698203159000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.5541040506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,5]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1994,5]]}},"alternative-id":["10.1002\/lary.5541040506"],"URL":"https:\/\/doi.org\/10.1002\/lary.5541040506","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,5]]}}}