{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:44:53Z","timestamp":1792482293692,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T00:00:00Z","timestamp":1586822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study assesses the role of facial nerve monitoring (FNM) for intraoperative decision making during otologic surgery and possible benefits beyond protecting facial nerve integrity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This prospective study examines intraoperative FNM data and structured interviews collected during 52 otologic procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Subjects include adults and children undergoing middle ear or mastoid surgery. Data include intraoperative neuromonitoring activity and structured interviews conducted with the operating surgeon immediately following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Facial nerve stimulation was used to confirm the position of the nerve in 42 of 52 surgical procedures. In 26.9% of cases, the patient became \u201clight\u201d and moved under anesthesia, which was predicted by neuromonitoring 71.4% of the time. Through structured interviews, the operating surgeons reported the following. (1) The facial nerve took an unexpected anatomic course in 7.8% of patients and was difficult to identify in 39.2%. (2) The nerve was at increased risk of injury in 66.7% of cases due to chronic disease or previous surgery. (3) Among these high\u2010risk cases, the monitor helped reduce the risk of nerve damage 100% of the time. (4) Neuromonitoring allowed the surgeon to operate faster 86.5% of the time, and (5) FNM allowed the resident to perform more of the operation 68.9% of the time. No patients experienced postoperative facial weakness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Beyond potentially protecting facial nerve integrity, this study identified additional benefits of FNM, including warning of patient movement during anesthesia, confirming facial nerve anatomic location, reducing operative time, and enhancing resident surgical experience.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820915458","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T04:05:08Z","timestamp":1586837108000},"page":"572-576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Additional Benefits of Facial Nerve Monitoring during Otologic Surgery"],"prefix":"10.1002","volume":"163","author":[{"given":"Kelsey","family":"Casano","sequence":"first","affiliation":[{"name":"Departments of Otolaryngology and Neurosurgery LSU Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"Giangrosso","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology and Neurosurgery LSU Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauri","family":"Mankekar","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology and Neurosurgery LSU Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Sevy","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology and Neurosurgery LSU Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Mehta","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology and Neurosurgery LSU Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moises","family":"Arriaga","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology and Neurosurgery LSU Health Sciences Center New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,14]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"678","volume-title":"Otologic Surgery","author":"Dinh C","year":"2010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.6.FOCUS12194"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100136618"},{"issue":"5","key":"e_1_2_9_5_1","first-page":"432","article-title":"Iatrogenic facial nerve injury","volume":"9","author":"Schuring AG","year":"1988","journal-title":"Am J Otol"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556139607501112"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318298a8fb"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200310000-00015"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814537223"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200105000-00014"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23363"},{"key":"e_1_2_9_12_1","unstructured":"Aetna.Intraoperative electromyographic monitoring.http:\/\/www.aetna.com\/cpb\/medical\/data\/600_699\/0697.html. Published October 2018. Accessed March 15 2019."},{"issue":"4","key":"e_1_2_9_13_1","first-page":"269","article-title":"Routine intraoperative facial nerve monitoring during otologic surgery","volume":"9","author":"Silverstein H","year":"1988","journal-title":"Am J Otol"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197802000-00005"},{"issue":"1","key":"e_1_2_9_15_1","first-page":"108","article-title":"Intraoperative facial nerve monitoring in chronic ear surgery: a resident training experience","volume":"15","author":"Pensak ML","year":"1994","journal-title":"Am J Otol"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.121861"},{"key":"e_1_2_9_17_1","unstructured":"KartushJM RiceKS ChristophSN et al.Facial nerve monitoring: clinical practice guidelines of the American Society of Neurophysiological Monitoring.https:\/\/drive.google.com\/open?id=1JP44PcluvtliRTgSgnUs7qJHVcojXesF. Published March 26 2019. Accessed March 22 2020."},{"key":"e_1_2_9_18_1","unstructured":"KartushJM.Kartush facial nerve monitoring protocol.https:\/\/www.enttoday.org\/article\/kartush\u2010facial\u2010nerve\u2010monitoring\u2010protocol\/?singlepage=1. Accessed May 1 2019."}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599820915458","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599820915458","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599820915458","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:08:55Z","timestamp":1760954935000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599820915458"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,14]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/0194599820915458"],"URL":"https:\/\/doi.org\/10.1177\/0194599820915458","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,14]]},"assertion":[{"value":"2019-10-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}