Is a combination of diffuse reflectance spectroscopy (DRS) and fluorescence spectroscopy (FS) able to identify small nerve branches during operative procedures in head and neck surgery?
DRS/FS is a potentially useful intraoperative tool for identification of nerves from adjacent tissues.
Explore this issue:October 2018
Background: Careful identification of nerves during head and neck surgery is essential to prevent nerve damage. Currently, nerves are identified based on anatomy and appearance, optionally combined with electromyography (EMG). In challenging cases, nerve damage is reported in up to 50%. Recently, optical techniques, such as DRS and FS, show potential to improve nerve identification.
Setting: Netherlands Cancer Institute–Antoni van Leeuwenhoek, Amsterdam.