A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system
Abstract Highly accurate real-time cochlear nerve monitoring to preserve cochlear nerve function is essential for simultaneous cochlear implantation and ipsilateral vestibular schwannoma resection. In the present study, we developed a novel real-time monitoring system that combines dorsal cochlear n...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-023-00671-4 |
| _version_ | 1797663585270235136 |
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| author | Makoto Hosoya Yuriko Nagaoka Takeshi Wakabayashi Marie N. Shimanuki Takanori Nishiyama Masafumi Ueno Hiroyuki Ozawa Naoki Oishi |
| author_facet | Makoto Hosoya Yuriko Nagaoka Takeshi Wakabayashi Marie N. Shimanuki Takanori Nishiyama Masafumi Ueno Hiroyuki Ozawa Naoki Oishi |
| author_sort | Makoto Hosoya |
| collection | DOAJ |
| description | Abstract Highly accurate real-time cochlear nerve monitoring to preserve cochlear nerve function is essential for simultaneous cochlear implantation and ipsilateral vestibular schwannoma resection. In the present study, we developed a novel real-time monitoring system that combines dorsal cochlear nucleus action potential monitoring with intracochlear stimulating electrodes (Auditory Nerve Test System, ANTS). We used this system for a case with vestibular schwannoma resection via the translabyrinthine approach. The monitoring system developed in this study detected highly reliable evoked potentials from the cochlear nerve every two seconds continuously during tumor resection. Near-total tumor resection was achieved, and cochlear implantation was performed successfully after confirming the preservation of cochlear nerve function in a case. The patient’s hearing was well compensated by cochlear implantation after surgery. Our novel method continuously achieved real-time monitoring of the cochlear nerve every two seconds during vestibular schwannoma resection. The usefulness of this monitoring system for simultaneous tumor resection and cochlear implantation was demonstrated in the present case. The system developed in this study is compatible with continuous facial nerve monitoring. This highly accurate and novel monitoring method will broaden the number of candidates for this type of surgery in the future. |
| first_indexed | 2024-03-11T19:16:47Z |
| format | Article |
| id | doaj.art-1ea386ed92ed4a468c05fbc99e256e9c |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-03-11T19:16:47Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-1ea386ed92ed4a468c05fbc99e256e9c2023-10-08T11:22:50ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162023-10-015211910.1186/s40463-023-00671-4A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test systemMakoto Hosoya0Yuriko Nagaoka1Takeshi Wakabayashi2Marie N. Shimanuki3Takanori Nishiyama4Masafumi Ueno5Hiroyuki Ozawa6Naoki Oishi7Department of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of MedicineAbstract Highly accurate real-time cochlear nerve monitoring to preserve cochlear nerve function is essential for simultaneous cochlear implantation and ipsilateral vestibular schwannoma resection. In the present study, we developed a novel real-time monitoring system that combines dorsal cochlear nucleus action potential monitoring with intracochlear stimulating electrodes (Auditory Nerve Test System, ANTS). We used this system for a case with vestibular schwannoma resection via the translabyrinthine approach. The monitoring system developed in this study detected highly reliable evoked potentials from the cochlear nerve every two seconds continuously during tumor resection. Near-total tumor resection was achieved, and cochlear implantation was performed successfully after confirming the preservation of cochlear nerve function in a case. The patient’s hearing was well compensated by cochlear implantation after surgery. Our novel method continuously achieved real-time monitoring of the cochlear nerve every two seconds during vestibular schwannoma resection. The usefulness of this monitoring system for simultaneous tumor resection and cochlear implantation was demonstrated in the present case. The system developed in this study is compatible with continuous facial nerve monitoring. This highly accurate and novel monitoring method will broaden the number of candidates for this type of surgery in the future.https://doi.org/10.1186/s40463-023-00671-4Cochlear nerve monitoringCochlear implantationVestibular schwannoma |
| spellingShingle | Makoto Hosoya Yuriko Nagaoka Takeshi Wakabayashi Marie N. Shimanuki Takanori Nishiyama Masafumi Ueno Hiroyuki Ozawa Naoki Oishi A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system Journal of Otolaryngology - Head and Neck Surgery Cochlear nerve monitoring Cochlear implantation Vestibular schwannoma |
| title | A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system |
| title_full | A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system |
| title_fullStr | A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system |
| title_full_unstemmed | A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system |
| title_short | A novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system |
| title_sort | novel intraoperative continuous monitoring method combining dorsal cochlear nucleus action potentials monitoring with auditory nerve test system |
| topic | Cochlear nerve monitoring Cochlear implantation Vestibular schwannoma |
| url | https://doi.org/10.1186/s40463-023-00671-4 |
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