Laryngo-rhino-otologiePub Date : 2026-10-01Epub Date: 2026-06-23DOI: 10.1055/a-2881-5957
Alexander Andrea Tarnutzer, Julia Dlugaiczyk
{"title":"[Diagnosis and treatment of vestibular migraine - recent developments and future treatment strategies].","authors":"Alexander Andrea Tarnutzer, Julia Dlugaiczyk","doi":"10.1055/a-2881-5957","DOIUrl":"10.1055/a-2881-5957","url":null,"abstract":"<p><strong>Abstract: </strong>Vestibular migraine is a common cause of episodic vertigo and dizziness and affects up to 3% of all people. Characteristic symptoms include frequent episodes of vertigo (at least 5 attacks required) of varying duration (5 minutes to 72 hours) and at least moderate intensity, accompanied by other symptoms typical of migraine. To diagnose vestibular migraine, a (pre-existing) diagnosis of migraine with or without aura is required, as well as the simultaneous occurrence of migraine headaches, visual aura, or photo/phonophobia in at least every second vertigo attack. The spectrum of clinical presentations is broad, ranging from spontaneous, persistent vertigo/dizziness to isolated positional vertigo and accompanying hearing loss. Accordingly, the differential diagnosis and the associated investigations vary greatly depending on the clinical picture. Benign paroxysmal positional vertigo, Menière's disease, and acute stroke (at initial manifestation) are important entities that must be distinguished. Diagnostic workup usually reveals no structural abnormalities (magnetic resonance imaging and quantitative vestibular testing are normal), and there is no definitive test. Acute treatment of vestibular migraine is based on that of migraine with/without aura, but triptans should not be used in isolated episodes of vertigo/dizziness. Beta blockers, antidepressants, and antiepileptic drugs are proven approaches for preventive treatment, while the value of CGRP-antagonists and botulinum toxin A is still being researched, but initial results are promising.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"623-633"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308562","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}
Laryngo-rhino-otologiePub Date : 2026-10-01Epub Date: 2026-09-02DOI: 10.1055/a-2623-3075
Stefan K Plontke, Torsten Rahne
{"title":"[Hearing rehabilitation in vestibular and inner ear schwannomas - Hearing aids, bone conduction Implants and CI treatment].","authors":"Stefan K Plontke, Torsten Rahne","doi":"10.1055/a-2623-3075","DOIUrl":"10.1055/a-2623-3075","url":null,"abstract":"<p><strong>Abstract: </strong>Patients with vestibular schwannoma (VS) in the internal auditory canal and/or cerebellopontine angle often experience hearing loss in the affected ear, which is attributable to the disease or its treatment. If conventional hearing aids do not provide sufficient speech comprehension, cochlear implantation (CI) can be an effective means of hearing rehabilitation after microsurgical tumour resection, radiotherapy or observation, if patients are carefully selected. However, the audiological results are more variable compared to the more common CI indications. A prerequisite for good hearing results with CI is sufficient function of the cochlear nerve. The auditory nerve testing system using electrically evoked auditory brainstem responses (eABR) is a useful tool for determining the functionality of the auditory nerve. In patients with inner ear schwannomas limited to the cochlea and/or the vestibular labyrinth and non-serviceable hearing, results after tumour removal and CI are good to above average, so that CI treatment has already become established in these cases. If the tumour extends into or through the modiolus, thus involving the region of the spiral ganglion cells, hearing rehabilitation using CI is more complex.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"652-668"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880532","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}
Laryngo-rhino-otologiePub Date : 2026-10-01Epub Date: 2026-10-05DOI: 10.1055/a-2900-6843
{"title":"Kommentar zu „Nicotinamidadenindinukleotid beim akuten sensorineuralen Hörverlust“.","authors":"","doi":"10.1055/a-2900-6843","DOIUrl":"https://doi.org/10.1055/a-2900-6843","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 10","pages":"615-616"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111693","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}
Laryngo-rhino-otologiePub Date : 2026-10-01Epub Date: 2026-10-05DOI: 10.1055/a-2907-1575
{"title":"Sehr geehrte Leserinnen und Leser der LRO, liebe Kolleginnen und Kollegen.","authors":"","doi":"10.1055/a-2907-1575","DOIUrl":"https://doi.org/10.1055/a-2907-1575","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 10","pages":"609"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111660","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}
Laryngo-rhino-otologiePub Date : 2026-10-01Epub Date: 2026-10-05DOI: 10.1055/a-2903-7544
Matthias Santer, Helen Heppt, Anna Stenzl, Claudia Völklein, Benedikt Gabriel Hofauer
{"title":"[Auricular cartilage harvest].","authors":"Matthias Santer, Helen Heppt, Anna Stenzl, Claudia Völklein, Benedikt Gabriel Hofauer","doi":"10.1055/a-2903-7544","DOIUrl":"https://doi.org/10.1055/a-2903-7544","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 10","pages":"620-622"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111662","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}