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Erst das kontinuierliche IONM (cIONM) erm\u00f6glichte die durchgehende Analyse der Reizamplituden und -latenzen, welche mittlerweile ebenfalls in die Software g\u00e4ngiger Monitoringsysteme integriert wurde. Zielsetzung des cIONM ist ein Real-Time-Monitoring des Nervenstatus w\u00e4hrend des Eingriffs, um so drohende Nervenverletzung erkennen und verhindern zu k\u00f6nnen und die postoperative Funktion des Nervs vorhersehbar zu erhalten. Trotz einiger Nachteile wie falsch-positiver oder -negativer Alarme, technischer Artefakte und seltener Nebenwirkungen bleibt das cIONM ein gutes Hilfsmittel, das noch weiterentwickelt wird. In der Literatur sind sowohl aktive (acIONM) als auch passive (pcIONM) Reiz- und Ableitmethoden des cIONM beschrieben. Derzeit g\u00e4ngige Anwendungsgebiete des cIONM umfassen die Schilddr\u00fcsenchirurgie mit der kontinuierlichen Stimulation des N.\u00a0vagus sowie die Chirurgie des Kleinhirnbr\u00fcckenwinkels (KHBW) mit dem Monitoring des N.\u00a0facialis; hierbei werden neben kontinuierlicher Stimulation auch die Entladungsmuster des Nervs analysiert. Des Weiteren ist in die Chirurgie des KHBW das kontinuierliche Monitoring des H\u00f6rnervs etabliert.<\/jats:p>","DOI":"10.1007\/s00106-020-00823-2","type":"journal-article","created":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T09:03:27Z","timestamp":1583831007000},"page":"801-809","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Kontinuierliches intraoperatives Neuromonitoring (cIONM) in der Kopf-Hals-Chirurgie \u2013 eine \u00dcbersicht","Continuous intraoperative neuromonitoring (cIONM) in head and neck surgery\u2014a\u00a0review. 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