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10.1002/ohn.70083 http://scihub22266oqcxt.onion/10.1002/ohn.70083 41353726!?!41353726       Otolaryngol+Head+Neck+Surg 2025 ; ? (?): ? Nephropedia Template TP {{tp|p=41353726|t=2025. Efficacy of Intraoperative Facial Nerve Monitoring in Parotidectomy: A Systematic Review and Meta-Analysis (1970-2025) |pdf=|usr=}}{{41353726}} gab.com Text Efficacy of Intraoperative Facial Nerve Monitoring in Parotidectomy: A Systematic Review and Meta-Analysis (1970-2025) JO: Otolaryngol Head Neck Surg http://www.kidney.de/pget.php?&tw=1&pmid=41353726 #FOAvip OBJECTIVE: To assess the effectiveness of intraoperative facial nerve monitoring (FNM) in reducing immediate and permanent postoperative facial nerve weakness after primary parotidectomy. DATA SOURCES: PubMed-NCBI database, January 1970 to May 2025. REVIEW METHODS: A systematic review and meta-analysis were performed in accordance with PRISMA guidelines. Eligible studies compared primary parotidectomy performed with versus without FNM and reported outcomes as House-Brackmann grade >/=2. Two reviewers independently extracted study characteristics and outcomes. Study quality was assessed with the Newcastle-Ottawa Scale. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated; random-effects models were used when heterogeneity (I(2)) exceeded 30%. Number needed to monitor (NNM) was calculated for significant endpoints. RESULTS: Ten studies (n = 1047; 568 FNM, 479 control) met inclusion criteria. FNM was associated with nearly halved odds of immediate postoperative weakness (OR = 0.49; 95% CI, 0.35-0.67; P < .01; I(2) = 20.2%), corresponding to an NNM of 7. Permanent weakness was also associated with a significant reduction (OR = 0.49; 95% CI, 0.30-0.81; P < .01; I(2) = 12.9%), with an NNM of 11. Included studies were of moderate-to-high quality (NOS 6-8/9), though domain-level biases, particularly lack of blinding and incomplete confounder adjustment, were common. No significant publication bias was detected. CONCLUSION: Intraoperative FNM during primary parotidectomy was associated with reduced immediate and permanent postoperative dysfunction. These results, which extend beyond prior meta-analyses limited to immediate outcomes, support routine adoption of FNM as an adjunct to optimize nerve preservation and reduce morbidity. Twit Text FOAVip Efficacy of Intraoperative Facial Nerve Monitoring in Parotidectomy: A Systematic Review and Meta-Analysis (1970-2025) ????Otolaryngol Head Neck Surg http://www.kidney.de/pget.php?&tw=1&pmid=41353726 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=41353726 #FOAvip English Wikipedia <ref>{{Cite pmid|41353726}}</ref> Efficacy of Intraoperative Facial Nerve Monitoring in Parotidectomy: A Systematic Review and Meta-Analysis (1970-2025) #MMPMID41353726 Barrameda BN; Gogulapati A; Guo K; Squires L Otolaryngol Head Neck Surg 2025[Dec]; ? (?): ? PMID41353726show ga OBJECTIVE: To assess the effectiveness of intraoperative facial nerve monitoring (FNM) in reducing immediate and permanent postoperative facial nerve weakness after primary parotidectomy. DATA SOURCES: PubMed-NCBI database, January 1970 to May 2025. REVIEW METHODS: A systematic review and meta-analysis were performed in accordance with PRISMA guidelines. Eligible studies compared primary parotidectomy performed with versus without FNM and reported outcomes as House-Brackmann grade >/=2. Two reviewers independently extracted study characteristics and outcomes. Study quality was assessed with the Newcastle-Ottawa Scale. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated; random-effects models were used when heterogeneity (I(2)) exceeded 30%. Number needed to monitor (NNM) was calculated for significant endpoints. RESULTS: Ten studies (n = 1047; 568 FNM, 479 control) met inclusion criteria. FNM was associated with nearly halved odds of immediate postoperative weakness (OR = 0.49; 95% CI, 0.35-0.67; P < .01; I(2) = 20.2%), corresponding to an NNM of 7. Permanent weakness was also associated with a significant reduction (OR = 0.49; 95% CI, 0.30-0.81; P < .01; I(2) = 12.9%), with an NNM of 11. Included studies were of moderate-to-high quality (NOS 6-8/9), though domain-level biases, particularly lack of blinding and incomplete confounder adjustment, were common. No significant publication bias was detected. CONCLUSION: Intraoperative FNM during primary parotidectomy was associated with reduced immediate and permanent postoperative dysfunction. These results, which extend beyond prior meta-analyses limited to immediate outcomes, support routine adoption of FNM as an adjunct to optimize nerve preservation and reduce morbidity. ?Efficacy of Intraoperative Facial Nerve Monitoring in Parotidectomy: A(epmc).pdf DeepDyve Pubget Overpricing