Ra. Battista et al., Evaluation of three intraoperative auditory monitoring techniques in acoustic neuroma surgery, AM J OTOL, 21(2), 2000, pp. 244-248
Objective: To assess the efficacy of three intraoperative auditory monitori
ng techniques: auditory brainstem response (ABR), electrocochleography (ECo
G), and direct eight nerve monitoring (DENM).
Study Design: A retrospective review of the intraoperative recordings of AB
R, ECoG, and DENM was performed.
Setting: A private, neurotologic practice.
Patients: Sixty-six patients with usable preoperative hearing underwent int
raoperative auditory monitoring with ABR, ECoG, or DENM.
Interventions: Intraoperative auditory monitoring.
Main Outcome Measures: Postoperative pure-tone hearing threshold and word r
ecognition scores.
Results: OC the 66 patients, 16 (24%) had postoperative serviceable hearing
. Five (18%) of the 28 with ABR monitoring, 3 (17%) of the 18 with ECoG mon
itoring, and 8 (40%) of the 20 with DENM monitoring had serviceable hearing
after surgery.
Conclusions: This study suggests that DENM may be more effective than ABR o
r ECoG, although the differences in hearing preservation rates are not stat
istically significant.