A small pocket is made in the nuchal muscles using a pair of forceps for the
placement of the EMG wires. Dental acrylic (Lang Dental Manufacturing Co., Wheeling, IL) is
used to seal and protect the headmount, and the skin is closed around the headmount with a
single suture using 4-0 or 5-0 chromic gut (United States Surgical, Norwalk, CT) at the front and
back of the implant. Absorbable suture is used to minimize risk of damage of the fragile wires
that could occur if sutures needed to be removed.