{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T08:19:12Z","timestamp":1772698752615,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[1993,2,1]],"date-time":"1993-02-01T00:00:00Z","timestamp":728524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,2]]},"abstract":"<jats:p>Intraoperative facial nerve monitoring has become an indispensable tool during cerebellopontine angle surgery. Ninety\u2010seven patients underwent surgical removal of an acoustic neurinoma with the use of a pneumatic sensor monitoring between January 1, 1986, and December 31, 1990. In the early postoperative period, a normal or near\u2010normal facial function (grades I and II) was achieved in 86% of the patients, a moderate dysfunction (grade III) was present in 7%, and a total or severe dysfunction (grades V or VI) was present in 6%. Normal function at 1 year was achieved in 90.5% of the patients, 4% were grade II, a moderate dysfunction (grade III) was present in 2%, and 3% showed a total or severe dysfunction (grade V and VI). The incidence of normal function decreased with tumor size, with an occurrence rate of 100%, 94%, and 91% in small, medium, and large tumors, respectively. In eight consecutive patients, all responses detected by the monitoring during the operation were collected and analyzed according to intraoperative events. Analysis of the results indicate that 95% of the 316 mechanically induced stimulations were of small or extremely small amplitude, and only 5% were of moderate amplitude. A medial\u2010to\u2010lateral strategy of dissection, preservation of the arachnoid veil over the facial nerve, a control by the monitoring of the amount of traction, and a more widespread use of sharp dissection were the major approaches to reduce surgical trauma during dissection.<\/jats:p>","DOI":"10.1177\/019459989310800204","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:48:09Z","timestamp":1448434089000},"page":"126-134","source":"Crossref","is-referenced-by-count":20,"title":["Intraoperative Facial Nerve Monitoring in Posterior Fossa Acoustic Neuroma Surgery"],"prefix":"10.1002","volume":"108","author":[{"given":"Alain","family":"Uziel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Montpelier Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Benezech","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery University of Montpelier Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Frerebeau","sequence":"additional","affiliation":[{"name":"Department of Neurosurgical Center Clinique Rech Montpellier France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,2]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-197905000-00007"},{"key":"e_1_2_1_3_1","first-page":"751","article-title":"Preservation of facial function during removal of acoustic neuromas","volume":"51","author":"Moller AR","year":"1984","journal-title":"J Neurosurg"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198706000-00009"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198802000-00018"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-198609000-00010"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709700605"},{"key":"e_1_2_1_8_1","first-page":"340","article-title":"Facial nerve monitor","volume":"69","author":"Jako GJ","year":"1965","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1982.57.6.0747"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1987.01860120037004"},{"key":"e_1_2_1_11_1","first-page":"269","article-title":"Routine intraoperative facial nerve monitoring during otologic surgery","volume":"4","author":"Silverstein H","year":"1988","journal-title":"Am J Otol"},{"key":"e_1_2_1_12_1","volume-title":"Long term results and indications in otology and otoneuro\u2010surgery","author":"Uziel A","year":"1991"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400602"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(91)90126-T"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010300502"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400608"},{"key":"e_1_2_1_18_1","first-page":"55","article-title":"Neurophysiologic intraoperative monitoring: II. Facial nerve function","volume":"10","author":"Niparko JK","year":"1989","journal-title":"Am J Otol"},{"key":"e_1_2_1_19_1","unstructured":"UzielA BenezechJ FrerebeauPH.Facial nerve preservation in acoustic neurinoma surgery by retrosigmoid approach. Presented at the Symposium on Acoustic Neurinomas: acquisition and controversies. Toulouse France Nov. 7\u20138 1986."},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31124-5"},{"key":"e_1_2_1_21_1","first-page":"1","article-title":"A comparison of facial nerve monitoring systems in cerebellopontine angle surgery","volume":"12","author":"Dickins J","year":"1991","journal-title":"Am J Otol"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310800204","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310800204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:29:05Z","timestamp":1760956145000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310800204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,2]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1993,2]]}},"alternative-id":["10.1177\/019459989310800204"],"URL":"https:\/\/doi.org\/10.1177\/019459989310800204","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,2]]}}}