In vivo nerve identification in head and neck surgery using diffuse reflectance spectroscopy

Autor: Gerrit C. Langhout, Koert F.D. Kuhlmann, Pim Schreuder, Torre Bydlon, Ludi E. Smeele, Michiel W.M. van denBrekel, Henricus J.C.M. Sterenborg, Benno H.W. Hendriks, Theo J.M. Ruers
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Laryngoscope Investigative Otolaryngology, Vol 3, Iss 5, Pp 349-355 (2018)
Druh dokumentu: article
ISSN: 2378-8038
DOI: 10.1002/lio2.174
Popis: Background Careful identification of nerves during head and neck surgery is essential to prevent nerve damage. Currently, nerves are identified based on anatomy and appearance, optionally combined with electromyography (EMG). In challenging cases, nerve damage is reported in up to 50%. Recently, optical techniques, like diffuse reflectance spectroscopy (DRS) and fluorescence spectroscopy (FS) show potential to improve nerve identification. Methods 212 intra‐operative DRS/FS measurements were performed. Small nerve branches (1–3 mm), on near‐nerve adipose tissue, muscle and subcutaneous fat were measured during 11 surgical procedures. Tissue identification was based on quantified concentrations of optical absorbers and scattering parameters. Results Clinically comprehensive parameters showed significant differences (
Databáze: Directory of Open Access Journals
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