%0 Journal Article
%T Clinical Benefits of Facial Nerve Monitoring during Cerebellopontine Angle Surgery
%A Ahmed A. Farag
%A Abd El-Kafy Sharaf El-Din Ibrahim
%A Islam M. Alaghory
%J Open Journal of Modern Neurosurgery
%P 9-27
%@ 2163-0585
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojmn.2022.121002
%X <b><span style=\"font-family:Verdana;\">Background: </span></b><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">The surgery of cerebellopontine angle tumours has remarkably progressed
over the last 2 decades due to improved microsurgical techniques. </span><span style=\"font-family:Verdana;\">The primary operative goals are microscopic total
removal of the tumour</span><span style=\"font-family:Verdana;\"> while securing the adjacent cranial nerves. Facial
Nerve plays a critical role in facial muscles function and one¡¯s cosmetic
appearance, and its weakness can have </span><span><span style=\"font-family:Verdana;\">profound
implications on a patient¡¯s quality of life. </span><b><span style=\"font-family:Verdana;\">Aim of the Study: </span></b><span style=\"font-family:Verdana;\">To </span></span><span style=\"font-family:Verdana;\">assess </span><span style=\"font-family:Verdana;\">the impact of monitoring techniques on the
preservation of facial nerve</span><span style=\"font-family:Verdana;\"> function during cerebellopontine angle
tumours surgery. </span><b><span style=\"font-family:Verdana;\">Patients and Methods: </span></b><span style=\"font-family:Verdana;\">This is a prospective study. This
study was conducted on 30 cases (2 groups, </span><span style=\"font-family:Verdana;\">each
had 15 patients) with CPA lesions that had undergone surgical exci</span><span style=\"font-family:Verdana;\">sion
of these lesions performed by retrosigmoid approach (Group A: the</span><span style=\"font-family:Verdana;\"> pa</span><span style=\"font-family:Verdana;\">tients
were operated under continuous intraoperative facial nerve</span><span style=\"font-family:Verdana;\"> monitoring</span> <span style=\"font-family:Verdana;\">(IOFNM) and Group B: the patients were operated without IOFNM). They</span> <span style=\"font-family:Verdana;\">were operated upon in neurosurgery
departments at Al-Azhar university</span><span style=\"font-family:Verdana;\"> hosp</span><span><span style=\"font-family:Verdana;\">itals
between August 2019 and August 2021. </span><b><span style=\"font-family:Verdana;\">Results: </span></b></span></span><span style=\"font-family:Verdana;\">This study sho</span><span style=\"font-family:Verdana;\">wed that </span><span style=\"font-family:Verdana;\">excellent
facial nerve function (HB Grade I and II) was higher in group A</span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> than group B, immediately and at 6-month post op (80% and 93% VS 53.3%
and 66.7%). Intermediate (HB Grade III and VI) and
%K Facial Nerve
%K Monitoring
%K Cerebellopontine Angle
%K Retrosigmoid
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=113754