Bite block
A bite block for use during intraoperative monitoring of nerves is provided. The bite block is formed of a resilient material to inhibit injury to one or more teeth or the tongue of the patient. The bite block includes at least one access port angled with the respect to a plane and sized to slidingly receive an electrode. The electrode may be advanced through the access port and into the tongue of the patient.
1. A method for positioning an electrode in a mouth of a patient for intraoperative monitoring of at least one nerve associated with a tongue, the method comprising the step of:
providing a bite block having a left and right portion flexibly connected by a bridge;
positioning a head of the patient and opening the mouth of the patient;
placing the bite block in the mouth of the patient to maintain the mouth in an open position;
aligning an electrode with an access port in at least one of the left and right portion of the bite block;
advancing the electrode through the access port;
piercing the tongue of the patient with the electrode during the advancement of the electrode through the access port; and
stopping the advancement of the electrode when the electrode is properly positioned.
2. The method of claim 1 wherein the step of stopping the advancement of the electrode includes holding the electrode in place during a surgical procedure.
3. The method of claim 2 further comprising the step of removing the electrode when intraoperative monitoring is no longer required.
4. The method of claim 1 wherein stopping the advancement of the electrode comprising abutting a stop on the electrode with the access port.
5. A method of monitoring a hypoglossal nerve, XIIth Cranial Nerve, of a patient during a surgical procedure, the method comprising:
placing a bite block having a left and right resilient portion in a mouth of the patient;
arranging the bite block such that an access port in at least one of the resilient left portion or the resilient right portion is aligned with the hypoglossal nerve;
inserting an electrode through the access port into the tongue of the patient wherein the electrode is aligned and placed for intraoperative monitoring of the hypoglossal nerve.
6. The method of claim 1 wherein a step of placing the bite block in the mouth of the patient further comprises the step of holding a tongue of the patient.
7. The method of claim 6 wherein holding the tongue of the patient comprises placing a tab extending from the bridge to the tongue.
8. The method of claim 6 wherein the step of holding the tongue of the patient comprises causing the tongue to bulge.
9. The method of claim 6 further comprising the step of removing the tab subsequent to the step of stopping advancement of the electrode.
10. The method of claim 1 wherein stopping the advancement of the electrode comprising forming a frictional engagement between the electrode and the access port.
11. The method of claim 1 wherein a step of placing the bite block in the mouth of the patient further comprises conforming the bridge to a roof of the mouth.