Intraoperative neuromonitoring during surgery on the parotid salivary gland
Abstract
The most common problem during parotid surgery is unintentional damage to the facial nerve and its branches, which can subsequently lead to paralysis of the facial muscles. Intraoperative neuromonitoring (IONM) is now being widely used as an addition to the standard nerve identification procedure. Having information about the functional state of the nerve in real time, the surgeon can prevent its possible damage.
Material and methods. A clinical example of the use of IONM in the surgical treatment of pleomorphic adenoma of the parotid gland is described in the paper. During the operation, subtotal resection of the right parotid gland was performed, preserving the branches of the facial nerve using a test with a bipolar electrode.
Results. The postoperative period was without complications. The use of neuromonitoring made it possible to determine the location of the branches of the facial nerve, to assess their functional activity and, thereby, to ensure safe surgical intervention while preserving nerve function.
About the Authors
M. Yu. Vereschagin
ГБУЗ АО «Архангельский клинический онкологический диспансер»
Russian Federation
Russian Federation
Zh. A. Sharova
ГБУЗ АО «Архангельский клинический онкологический диспансер»
Russian Federation
Russian Federation
A. A. Gubkina
ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
I. S. Radushin
ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. A. Uspenskaya
Клиника высоких медицинских технологий им. Н.И. Пирогова ФГБОУ ВО «Санкт-
Петербургский государственный университет»
Russian Federation
Russian Federation
V. A. Makar’in
ТироВел-центр безопасной хирургии щитовидной железы ГБУЗ ЛО «Гатчинская клиническая межрайонная больница»
Russian Federation
Russian Federation
D. V. Bogdanov
ГБУЗ АО «Архангельский клинический онкологический диспансер»
Russian Federation
Russian Federation
M. Yu. Valkov
ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Vereschagin M.Yu., Sharova Zh.A., Gubkina A.A., Radushin I.S., Uspenskaya A.A., Makar’in V.A., Bogdanov D.V., Valkov M.Yu. Intraoperative neuromonitoring during surgery on the parotid salivary gland. Bashkortostan Medical Journal. 2025;20(1):103-107. (In Russ.)
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