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《Journal of Clinical Otorhinolaryngology》 2006-13
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ABR and CNAP combined monitoring during the lateral skull base surgeries

JIA Huan WU Hao CHEN Xiangping (Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University, Shanghai, 200092,China)  
Objective:Through the application of ABRs and CNAPs monitoring during the lateral skull base surgeries, we intended to detect the causes of intraoperative hearing damage and estimate the value of the techniques.Method:Intraoperative auditory monitoring were performed in 14 lateral skull base surgeries in which hearing preservation were attempted. ABRs was recorded in all the steps of the procedure, while CNAPs was recorded after opening the dura. All patients' hearing levels were followed up.Result:All the patients had auditory evoked potentials (AEPs) change during the procedure, especially after the step of drilling [prolonged(0.26± 0.19 )ms] and during the encephalic manipulations[prolonged(0.68±0.38)ms].Some patients' AEPs recruited in the end of procedure.Conclusion:The intraoperative auditory monitoring could play a role in preventing the hearing damage in the procedure. Drilling may cause the hearing damage. After relieving the manipulation inducement, the hearing damage would partially recruit. The prognosis of hearing is related to the prolongation of wave latencies in the procedure. A combination use of the ABR and CNAPs may be a better method of intraoperative auditory monitoring.
【CateGory Index】: R651.1
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 Chen Zhongping, Mohr G, Huang Qiang.Dept of Neurosurgery, Second Affiliated Hospital of Suzhou Medical College, Suzhou (215004);Hearing preservation and electrocochleography monitoring during acoustic neuroma surgery.[J];JOURNAL OF CLINICAL ELECTROENCEPHALOLOYG;1998-03
2 HAN Dongyi, YU Limei, YANG Shiming, YU Liming Department of Otolaryngology-Head and Neck SurgeryPLA General Hospital, Beijing 100853;Hearing protection during the operation of acoustic neurinoma[J];;2004-03
【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 ZHONG Ming-gu,MOU Yong-gao,ZHANG Xiang-heng,SAI Ke,CHEN Zhong-ping.Department of Neurosurgery,Cancer Center,Sun Yat-sen University,Guangzhou 510060,China;Function preservation of facial / acoustic nerve during acoustic neuroma microsurgery: report of 40 cases[J];Guangdong Medical Journal;2011-11
2 JIA Huan,WU Hao,LI Yun,WANG Wen-hao,HUANG Qi,CHEN Xiang-ping (Department of Otolaryngology-Head & Neck Surgery,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China);Intraoperative auditory monitoring in cerebellopontine angle surgery[J];Journal of Shanghai Jiaotong University(Medical Science);2007-01
3 JIA Huan, WU Hao, CHEN Xiang-ping (Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200092, China);The intraoperative auditory monitoring in otoneurosurgical procedures: technique and evaluation[J];Chinese Journal of Otorhinolaryngology-skull Base Surgery;2005-01
4 CAI Chao-chan, HAN Dong-yi Department of Otolaryngology Head and Neck Surgery of China PAL General Hospital , Beijing 100853;Hearing Preservation During Acoustic Neurinoma Resection[J];Chinese Journal of Otology;2013-01
5 HUANG Qi, ZHANG Zhi-hua, WANG Zhao-yan, YANG Jun, WU Hao Department of Otolaryngology Head & Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Jiaotong University Ear Institute, Shanghai 200092, China;Management of Cystic Acoustic Neuroma[J];Chinese Journal of Otology;2013-01
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Quan Wei,Xiao Guocai,Peng Biao,Luo Jinbiao,Zhang Hao,Xie Wei.Department of Neurosurgery,First P eople' s Hospital of Guangzhou,Guangzhou Medical College,Guangzh ou 510180,Guangdong Province,China;Microsurgical treatment of large acoustic neuromas and preservation of facial nerve and auditory nerve function[J];Modern Rehabilitation;2003-07
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