Prass facial nerve stimulator









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The experiments showed that selective muscle action potentials can be evoked optically in the gerbil facial nerve without direct physical contact. Light-absorbing glass slabs were placed in the optical path of the beam to vary the radiant exposure of the laser. Current pulses were controlled by custom-written software. B Preparation of gerbil for optical stimulation. Open in a separate window. However, a difference exists in the stimulation threshold. Both CmAPs are an average of 10 recordings.

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Intraoperative Facial Nerve Monitoring

This challenge is not necessarily a limitation because optics can be used, similar to optics in endoscopes, that are able to direct the optical beam toward the target, even in difficult to access locations. Moreover, we have shown for the auditory nerve that selective stimulation is possible. Methods The gerbil facial nerve was exposed to microsecond pulses of 2. The fascia overlying nerve branches, which is not present on nerve trunk, might explain the difference in radiant exposure to evoke similar responses. Please review our privacy policy. The Petri dish contains a thin glass window below the tip of the optical fiber. Selectivity of neural stimulation in the auditory system.

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Intraoperative identification of the facial nerve by needle

Vestibular schwannoma acoustic neuroma. The width of the beam determined at 6 dB below the maximum is shown in Figure 7. Although some studies show a good correlation between nerve monitoring and nerve preservation during surgery, other studies have failed to confirm those findings. One sequela of skull base surgery is iatrogenic damage to cranial nerves, which can be prevented if the nerve is identified.

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Description: Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgery. One sequela of skull base surgery is iatrogenic damage to cranial nerves, which can be prevented if the nerve is identified. Facial nerve trunk is exposed, and optical fiber is lowered to the nerve. Although tissue in the radiation path increases the scatter Fig. Although the experiments confirmed our hypothesis, some shortcomings must be considered. Interaction of the laser radiation with the tissue determines the spatial distribution of light in the tissue. The present experiments verify our hypothesis that the facial nerve can be stimulated with pulsed infrared laser radiation, thus presenting optical stimulation as a potential alternative to electrical stimulation for facial nerve monitoring and the detection and stimulation of nerve structures during surgery. Note that no difference exists between the damaging threshold in the two experiments. Archives of Surgery 2. Gross muscular responses were recorded using three 27 GA, mm reusable, subdermal needle electrodes Rochester Electromedical, Tampa, FL.
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