Audiology in the OR

IntraNerve is proud to have diversified our IONM services by providing Audiology Services in the OR.  During many Otology and Neurotology cases, IONM is commonly requested and IntraNerve Audiologists, Neurotologists and Neurosurgeons work closely to determine that all cases have the modalities needed for each procedure. 


Many middle ear surgical cases use Facial Nerve Monitoring (FNM) to help identify the facial nerve and prevent temporary or permanent nerve damage.  When monitoring a cochlear implant (CI) surgery, the device is also tested after it is placed in order to ensure the integrity of device using NRT, NRI or ART.  Skull based surgeries can incorporate a variety of monitoring modalities. Some cases require multiple cranial nerves to be monitored using EMG.  In cases that involve preserving hearing during tumor removal or decompression, Auditory Brainstem Response (ABR) testing is performed.  Somato Sensory Evoked Potentials (SSEPS) are also often monitored for patient safety.  This testing is typically done by a qualified Audiologist; however, CNIM-certified technologists can also be trained on this testing.  

Helping Auguste hear


In recent years, our staff has independently participated in groundbreaking work within this specialized field.  Below is an amazing story (from the LA Times) about an Auditory Brainstem Implant (ABI) study being conducted by a team of scientists and surgeons from Keck School of Medicine of USC, Children's Hospital Los Angeles, and the Huntington Medical Research Institutes (HMRI). 

For a 3 Year-Old Boy, Risky Operation May Mean a Chance to Hear


IntraNerve was fortunate to have a staff Audiologist (Danielle Dzubak, AuD) independently involved in this study, along with the opportunity to gain direct knowledge of this life-changing advancement in  technology.