Intraoperative Electroneurography (ENoG) of Facial Nerve Conduction during Mandibular Distraction Osteogenesis for Robin Sequence

This prospective pilot study suggests intraoperative risk of MMN injury during MDO is greatest during retraction for osteotomy and device activation. With an NPV of 84.8%, ENoG predicted the absence of postoperative FND when there were no significant conduction changes. Further research is necessary to confirm its diagnostic utility and establish standardized pediatric intraoperative ENoG thresholds.

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Publication Details

Journal
Plastic & Reconstructive Surgery
Published
2026-02-03
DOI
https://doi.org/10.1097/prs.0000000000012883
Primary Topic
Craniofacial Disorders and Treatments
Type
article
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article

Intraoperative Electroneurography (ENoG) of Facial Nerve Conduction during Mandibular Distraction Osteogenesis for Robin Sequence

Matthew Eccher, Haley S. Oh, Sohel Rana, Athena Zhang et al.
Plastic & Reconstructive Surgery
Craniofacial Disorders and Treatments
article

Intraoperative Electroneurography (ENoG) of Facial Nerve Conduction during Mandibular Distraction Osteogenesis for Robin Sequence

Matthew Eccher, Haley S. Oh, Sohel Rana, Athena Zhang, Albert K. Oh, Huong T. Tran, Esperanza Mantilla-Rivas, Juan R. Cortez, Gary F. Rogers, Nicole C. Episalla
article en

Abstract

This prospective pilot study suggests intraoperative risk of MMN injury during MDO is greatest during retraction for osteotomy and device activation. With an NPV of 84.8%, ENoG predicted the absence of postoperative FND when there were no significant conduction changes. Further research is necessary to confirm its diagnostic utility and establish standardized pediatric intraoperative ENoG thresholds.

Plastic & Reconstructive Surgery
Children's National (US), University School (US), Case Western Reserve University (US), NuVasive (United States) (US)
Good health and well-being
Openalex Percentile: Top 65%
Craniofacial Disorders and Treatments
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Intraoperative Electroneurography (ENoG) of Facial Nerve Conduction during Mandibular Distraction Osteogenesis for Robin Sequence — Matthew Eccher, Haley S. Oh, et al. · Plastic & Reconstructive Surgery (2026) | TGRS Research Map | TGRS