11^th European Otolaryngology-ENT Surgery Conference

Intraoperative Neurophysiological Nonitoring

Intraoperative neurophysiological monitoring (IONM) is a critical technique used during surgical procedures to monitor the functional integrity of the nervous system in real-time. It involves the continuous assessment of neural pathways, including motor, sensory, and cognitive functions, to prevent potential damage and ensure optimal surgical outcomes. By employing various neurophysiological techniques such as electromyography (EMG), electroencephalography (EEG), and evoked potentials (EP), IONM provides surgeons with immediate feedback on the functional status of nerves and the brain during delicate procedures. This monitoring is particularly crucial in surgeries involving the brain, spinal cord, peripheral nerves, and other neural structures where even minor damage can lead to significant post-operative deficits, The primary goal of IONM is to minimize the risk of neurological complications by detecting changes in neural function early enough to allow surgical adjustments. It enables surgeons to make informed decisions in real-time, such as adjusting surgical techniques, repositioning patients, or altering anesthesia levels to protect neural pathways. Beyond immediate intraoperative benefits, IONM also contributes to long-term patient outcomes by reducing the incidence of post-operative neurological deficits and improving overall surgical safety. As technology continues to advance, the integration of IONM into surgical practices has become standard in many complex procedures, highlighting its essential role in modern neurosurgery and other specialties involving intricate neural structures.