Surgical management of facial vascular anomalies: role of intraoperative seventh nerve monitoring

Surgical management of facial vascular anomalies: role of intraoperative seventh nerve monitoring Surgical management of facial hemangiomas, the most common childhood neoplasms and infiltrating facial vascular malformations, has the risk of injury to the facial nerve and remains controversial. The aim of this study was to analyze the use of the commercially available Neurosign 100® Nerve Monitor in those cases of facial vascular anomalies where resection was considered the appropriate treatment. On a prospective basis, six consecutive patients with deep (so-called infiltrating) vascular anomalies of the face (two hemangiomas, three lymphatic malformation, one lymphatico-venous malformation) were enrolled in this study. During surgical preparation, electromyographic (EMG) activity of the muscles innervated by the facial nerve was monitored. The variables collected included the patient’s sex, age at surgery, location of the lesion and depth, prior treatment, diagnostic workup, site of skin incision, operating time, operative and postoperative complications, and reconstructive outcome. All lesions were resected without major bleeding. Postoperatively, all patients showed regular, symmetrical function of the facial nerve. The mean operating time was 136.7 min (range 90 to 240 min). During the preparation using surgical instruments, EMG activity was noted both as a graphic signal showing facial nerve activity and as an acoustic signal. In all patients, the branches of the facial nerve were identified clinically by electrode stimulation at 30 Hz. Postoperatively, all patients had improvement of facial asymmetry and deformity; preoperative pain episodes and functional impairments resolved completely. Intraoperative facial nerve monitoring provides feedback regarding the location, extent, and ongoing functional status of the facial nerve in the surgical management of infiltrating benign lesions such as hemangiomas and vascular malformations. Besides an overall distinct indication for surgery, we recommend its use for prevention of iatrogenic facial nerve injury. European Journal of Plastic Surgery Springer Journals

Surgical management of facial vascular anomalies: role of intraoperative seventh nerve monitoring

Loading next page...
Copyright © 2008 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


  • Cutaneous vascular anomalies
    Mulliken, JB

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial