Laryngo-rhino-otologie最新文献

{"title":"[Update on Active Middle Ear and Transcutaneous Bone Conduction Hearing Systems].","authors":"Ioana Tereza Brill, Stefan Volkenstein, Stefan Dazert","doi":"10.1055/a-2634-7603","DOIUrl":"https://doi.org/10.1055/a-2634-7603","url":null,"abstract":"<p><strong>Abstract: </strong>The recent years have observed technical developments and improvements and have led to an almost all-over coverage for hearing impaired persons by means of non-invasive hearing aids and implantable hearing systems. Thus, persons with hearing disabilities can enjoy an almost normal life and be part of working and social active communities. However, some patients either do no benefit satisfactorily from conventional hearing aids or cannot wear them due to inflammatory reactions and chronic infections of the external auditory canal or due to anatomical reasons. For these patients, various (semi-) implantable middle ear and bone conduction systems are available. The common active principle of the devices considered here is the mechanic stimulation at the ossicular chain or other middle ear structures (active middle ear implants), at the skull (bone-anchored hearing devices), or of the cochlea itself (direct acoustic stimulation). Given the audiological indication criteria and the anatomical conditions were carefully considered, patients who failed surgical hearing rehabilitation or do not benefit from conventional hearing aids, may achieve significant better speech understanding and tremendous improvement in quality of life by implantable hearing devices.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"323-335"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Spontaneous intracranial hypotension - a spinal disease].","authors":"Charlotte Zander, Katharina Wolf, Amir El Rahal, Florian Volz, Jürgen Beck, Horst Urbach, Niklas Lützen","doi":"10.1055/a-2724-7080","DOIUrl":"https://doi.org/10.1055/a-2724-7080","url":null,"abstract":"<p><strong>Background: </strong>Spontaneous intracranial hypotension (SIH) remains an underdiagnosed condition despite increasing awareness due to recent scientific advances. Diagnosis can be delayed by the broad clinical presentation and imaging pitfalls. This results in a high degree of physical impairment for patients, including social and psychological sequelae as well as long-term damage in the case of delayed diagnosis and treatment.</p><p><strong>Method: </strong>The study is based on a selective literature search on PubMed including articles from 1990 to 2023 and the authors' clinical experience from working in a CSF center.</p><p><strong>Results and conclusion: </strong>SIH mostly affects middle-aged women, with the primary symptom being position-dependent orthostatic headache. In addition, there is a broad spectrum of possible symptoms that can overlap with other clinical conditions and therefore complicate the diagnosis. The causative spinal CSF loss can be divided into three main types: ventral (type 1) or lateral (type 2) dural leak and CSF-venous fistula (type 3). The diagnosis can be made using a two-stage workup. As a first step, noninvasive MRI of the head and spine provides indicators of the presence of SIH. The second step using focused myelography can identify the exact location of the cerebrospinal fluid leak and enable targeted therapy (surgical or interventional). Intrathecal pressure measurement or intrathecal injection of gadolinium is no longer necessary for primary diagnosis. Serious complications in the course of the disease can include space-occupying subdural hematomas, superficial siderosis, and symptoms of brain sagging, which can lead to misinterpretations. Treatment consists of closing the dural leak or the cerebrospinal fluid fistula. Despite successful treatment, a relapse can occur, which highlights the importance of follow-up MRI examinations and emphasizes the chronic nature of the disease. This paper provides an overview of the diagnostic workup of patients with suspected SIH and new developments in imaging and therapy.</p><p><strong>Key points: </strong>· SIH is an underdiagnosed condition with a wide range of possible symptoms.. · The first diagnostic step using MRI provides indications of the presence of SIH.. · The second diagnostic step using (dynamic) myelography can identify the CSF leak.. · Collaboration with a CSF center is advisable for further diagnosis and treatment.. · Prompt detection and treatment of SIH improves the outcome..</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"286-296"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effect of passive music intervention in patients with acute unilateral vestibulopathy].","authors":"Lena Zaubitzer, Felix Wassmer, Benedikt Kramer, Claudia Scherl, Nicole Rotter, Angela Schell, Daniel Häussler","doi":"10.1055/a-2689-7215","DOIUrl":"10.1055/a-2689-7215","url":null,"abstract":"<p><strong>Background: </strong>Literature already reports on positive effects of complementary medicine music interventions on anxiety, depression, pain and stress. These symptoms are frequently observed in patients with acute vestibular vertigo. However, there are no studies on the effect of music interventions in terms of quality of life (QoL) and reduction of symptoms in these patients. The present study aims to investigate these effects, particularly on vertigo symptoms and health-related QoL.</p><p><strong>Methods: </strong>Patients with acute unilateral vestibulopathy confirmed by diagnostic tests were enroled in a prospective intervention study approved by the local ethics committee. The intervention group was asked to listen to music for 60 minutes daily. They recorded their dizziness intensity in a diary over the 14-day observation period using a numerical rating scale (NRS). QoL was assessed using the Dizziness Handicap Inventory (DHI) on days 1, 3 and 14 after the start of the intervention.</p><p><strong>Results: </strong>A total of 25 patients were included, 13 in the intervention and 12 patients in the control group. On day 14, mean DHI score was significantly lower in the intervention group at 16.92 points than in the control group at 24.17 points (p = 0.01). The dizziness intensity determined using the NRS tended to be lower in the intervention group at the end of the music intervention, but without being statically significant (p > 0.05).</p><p><strong>Conclusion: </strong>A positive effect of music intervention in acute unilateral vestibulopathy was found, especially at the end of the intervention. Due to their ubiquitous availability, passive music interventions can be easily implemented in clinical practice and could be a useful additional component in the treatment of acute peripheral vestibular vertigo.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"297-303"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eingriffe an den Speicheldrüsen.","authors":"O Guntinas-Lichius","doi":"10.1055/a-2802-9112","DOIUrl":"https://doi.org/10.1055/a-2802-9112","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"338-341"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fall CUP.","authors":"Gerlind Schneider","doi":"10.1055/a-2802-9070","DOIUrl":"https://doi.org/10.1055/a-2802-9070","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"337"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kochleaimplantate: Wie gut beantworten Google und ChatGPT Patientenfragen?","authors":"","doi":"10.1055/a-2641-4348","DOIUrl":"https://doi.org/10.1055/a-2641-4348","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"282-283"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sip by Sip to the Diagnosis - Mastering Fiberoptic Endoscopic Evaluation of Swallowing (FEES) - Part II: Implication of pathological findings].","authors":"Shabnam Shahpasand, Nils Pursche, Arno Olthoff","doi":"10.1055/a-2768-0446","DOIUrl":"https://doi.org/10.1055/a-2768-0446","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"284-285"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fall Atherom.","authors":"Gerlind Schneider","doi":"10.1055/a-2802-9232","DOIUrl":"https://doi.org/10.1055/a-2802-9232","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"336"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kommentar zu „Kochleaimplantate: Wie gut beantworten Google und ChatGPT Patientenfragen?“.","authors":"","doi":"10.1055/a-2622-6116","DOIUrl":"https://doi.org/10.1055/a-2622-6116","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"283"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[From expert opinion practice: Assessment of cosmetic disfigurements in ENT medical assessments in various insurance sectors].","authors":"Tilman Brusis, Iver Christian Loennecken","doi":"10.1055/a-2786-4673","DOIUrl":"https://doi.org/10.1055/a-2786-4673","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 5","pages":"319-322"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}