Vagal nerve stimulator implantation: the otolaryngologist's perspective. 2009

R Pratap, and A Farboud, and H Patel, and P Montgomery
ENT Department, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK. rohitpratap@doctors.org.uk

Vagal nerve stimulation (VNS) is a recognised and effective measure in treating refractory epilepsy and depression. VNS implantation is a widely accepted surgical procedure, most commonly performed by neurosurgeons. Otolaryngologists, in particular those with an interest in head and neck surgery, are very familiar with the surgical anatomy and dissection of the vagus nerve in the carotid sheath. We present a retrospective analysis of the first 12 patients to be implanted in our department. Our series suggests that otolaryngologists can safely and effectively perform VNS implantation. Otolaryngologists can assess and treat the most common post-operative complication of dysphonia and help the neurologist set the correct level of stimulation in such a way as to minimise laryngeal complications.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009462 Neurology A medical specialty concerned with the study of the structures, functions, and diseases of the nervous system.
D010036 Otolaryngology A surgical specialty concerned with the study and treatment of disorders of the ear, nose, and throat. Otology,Otorhinolaryngology,Laryngology
D012017 Referral and Consultation The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide. Consultation,Gatekeepers, Health Service,Hospital Referral,Second Opinion,Consultation and Referral,Health Service Gatekeepers,Hospital Referrals,Referral,Referral, Hospital,Referrals, Hospital,Consultations,Gatekeeper, Health Service,Health Service Gatekeeper,Opinion, Second,Opinions, Second,Referrals,Second Opinions
D004567 Electrodes, Implanted Surgically placed electric conductors through which ELECTRIC STIMULATION is delivered to or electrical activity is recorded from a specific point inside the body. Implantable Electrodes,Implantable Stimulation Electrodes,Implanted Electrodes,Implanted Stimulation Electrodes,Electrode, Implantable,Electrode, Implantable Stimulation,Electrode, Implanted,Electrode, Implanted Stimulation,Electrodes, Implantable,Electrodes, Implantable Stimulation,Electrodes, Implanted Stimulation,Implantable Electrode,Implantable Stimulation Electrode,Implanted Electrode,Implanted Stimulation Electrode,Stimulation Electrode, Implantable,Stimulation Electrode, Implanted,Stimulation Electrodes, Implantable,Stimulation Electrodes, Implanted
D004827 Epilepsy A disorder characterized by recurrent episodes of paroxysmal brain dysfunction due to a sudden, disorderly, and excessive neuronal discharge. Epilepsy classification systems are generally based upon: (1) clinical features of the seizure episodes (e.g., motor seizure), (2) etiology (e.g., post-traumatic), (3) anatomic site of seizure origin (e.g., frontal lobe seizure), (4) tendency to spread to other structures in the brain, and (5) temporal patterns (e.g., nocturnal epilepsy). (From Adams et al., Principles of Neurology, 6th ed, p313) Aura,Awakening Epilepsy,Seizure Disorder,Epilepsy, Cryptogenic,Auras,Cryptogenic Epilepsies,Cryptogenic Epilepsy,Epilepsies,Epilepsies, Cryptogenic,Epilepsy, Awakening,Seizure Disorders
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

R Pratap, and A Farboud, and H Patel, and P Montgomery
July 2006, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
R Pratap, and A Farboud, and H Patel, and P Montgomery
January 2010, Revista espanola de anestesiologia y reanimacion,
R Pratap, and A Farboud, and H Patel, and P Montgomery
June 2006, Anesthesia and analgesia,
R Pratap, and A Farboud, and H Patel, and P Montgomery
August 2003, Neurology,
R Pratap, and A Farboud, and H Patel, and P Montgomery
September 2012, The New Zealand medical journal,
R Pratap, and A Farboud, and H Patel, and P Montgomery
January 2018, American journal of otolaryngology,
R Pratap, and A Farboud, and H Patel, and P Montgomery
February 2022, Clinical neurology and neurosurgery,
R Pratap, and A Farboud, and H Patel, and P Montgomery
November 2011, Annals of internal medicine,
R Pratap, and A Farboud, and H Patel, and P Montgomery
July 2004, The Pediatric infectious disease journal,
R Pratap, and A Farboud, and H Patel, and P Montgomery
January 2013, Journal of natural science, biology, and medicine,
Copied contents to your clipboard!