Plural Publishing produces leading academic, scientific and clinical publications in the fields of speech-language pathology, audiology, and otolaryngology.


The Audiologist's Handbook of Intraoperative Neurophysiological Monitoring

Paul R. Kileny
195 pages, Color Illustrations (4 Color), Softcover, 4.5 x 8"
Included Media:
Companion Website
Release Date:


The Audiologist's Handbook of Intraoperative Neurophysiological Monitoring is a comprehensive and practical guide on cranial nerve intraoperative monitoring for audiology students and audiologists. The author shares his expertise gained from years of experience in the operating room with other audiologists and health care providers.

The handbook was written with the student, fellow and relatively novice monitoring clinician in mind. However, individuals beyond a beginner level can also benefit from this book, which is illustrated with cases and appropriate figures to guide the learning and reviewing of intraoperative monitoring applications. The topics will also be of assistance and interest to other health care providers seeking information about intraoperative monitoring--specifically training IOM technologists and otolaryngology or neurosurgery residents and fellows.

The initial chapters of the handbook introduce the reader to basic tenants of electromyography, evoked potential recording, and neuroanatomy. The following chapters detail intraoperative monitoring for seven different surgical procedures most commonly encountered by audiologists. The last two chapters focus on considerations for establishing a neuromonitoring program, including five specific protocols that could be used step-by-step in the operating room to set up and conduct neuromonitoring for a surgical procedure.

In addition to this comprehensive review of intraoperative monitoring, readers will benefit from a PluralPlus companion site with videos illustrating neurophysiological events occurring during surgical procedures.


  • Joshua Mergos, MS, CNIM, Intraoperative Neuromonitoring Program Director, Clinical Assistant Professor, University of Michigan - School of Kinesiology Educational Coordinator, Neuromonitorist Michigan Medicine, Department of Neurology (2018):
    "...The images and figures are top quality and I like the straight forward organization of chapters. Very nice work – what a great text!"

Video List

Chapter 1. Introduction to Interaoperative Monitoring

Chapter 2. Fundamentals of Motor Nerve Monitoring

Chapter 3. Intraoperative Monitoring of Auditory Function

Chapter 4. Fundamentals of Auditory Function Monitoring

Chapter 5. Intraoperative Monitoring for Cochlear Implant Surgery

Chapter 6. Intraoperative Monitoring for Acoustic Neuroma/Vestibular Schwannoma Surgery

Chapter 7. Intraoperative Monitoring for Parotid Surgery

Chapter 8. Intraoperative Monitoring in Thyroid Surgery

Chapter 9. Intraoperative Monitoring of Superior Semicircular Canal Dehiscence

Chapter 10. Intraoperative Monitoring in Hemifacial Spasm Microvascular Decompression Surgery

Chapter 11. Intraoperative Monitoring for Lower Skullbase Neoplasm Surgery

Chapter 12. Managing IOM Artifacts in the Operating Room

Chapter 13. Developing an Intraoperative Monitoring Program

Chapter 14. Clinical Intraoperative Monitoring Protocols
Appendix 14-A. Cochlear Implant and Mastoidectomy IOM Guidelines
Appendix 14-B. Parotidectomy IOM Guidelines
Appendix 14-C. Somatosensory Evoked Potential IOM Guidelines
Appendix 14-D. Thyroidectomy IOM Guidelines
Appendix 14-E. Vestibular Schwannoma IOM Guidelines


About The Author

Paul R. Kileny

Paul R. Kileny, PhD, CCC-A, BCS-IOM is Professor and Academic Program Director of Audiology and Electrophysiology at the University of Michigan Medical School.

Purchasers of this book receive complimentary access to supplementary materials hosted on a PluralPlus companion website.

To access the materials, log in to the website using the URL and Access Code located inside the front cover of your copy of The Audiologist's Handbook of Intraoperative Neurophysiological Monitoring.