Laryngo-rhino-otologiePub Date : 2024-11-01Epub Date: 2024-09-30DOI: 10.1055/a-2353-2347
Rainer K Weber, Thomas Deitmer, Jan Löhler, Christoph Aletsee, Ingo Baumann, Christian Betz, Achim Beule, Robert Böscke, Andreas Dietz, Vanessa Harnischmacher, Frank Haubner, Werner Heppt, Anna Sophie Hoffmann, Thomas K Hoffmann, Werner Hosemann, Thomas Kuehnel, Martin Laudien, Bernhard Olzowy, Kim-Victoria Seibert, Fabian Sommer, Thomas Verse, Susanne Wiegand, Tanja Hildenbrand
{"title":"[Sinunasal surgery as outpatient procedure with special consideration of nasal packing - Position paper of the German Society of Otorhinolaryngology, Head and Neck Surgery, the working group Rhinology/Rhinosurgery (ARHIN) of the German Society of Otorhinolaryngology, Head and Neck Surgery and German Professional Association of Otorhinolaryngologists].","authors":"Rainer K Weber, Thomas Deitmer, Jan Löhler, Christoph Aletsee, Ingo Baumann, Christian Betz, Achim Beule, Robert Böscke, Andreas Dietz, Vanessa Harnischmacher, Frank Haubner, Werner Heppt, Anna Sophie Hoffmann, Thomas K Hoffmann, Werner Hosemann, Thomas Kuehnel, Martin Laudien, Bernhard Olzowy, Kim-Victoria Seibert, Fabian Sommer, Thomas Verse, Susanne Wiegand, Tanja Hildenbrand","doi":"10.1055/a-2353-2347","DOIUrl":"10.1055/a-2353-2347","url":null,"abstract":"<p><strong>Objective: </strong>Currently, there is an intensive discussion on advancing and expanding outpatient rhinosurgical procedures. Many questions about how to stratify into out- and inpatient procedures are still not sufficiently clarified. Particularly, the use of nasal packing materials is not adequately discussed.</p><p><strong>Material and methods: </strong>Development of a checklist to stratify sinunasal procedures into in- or outpatient procedures with consideration of current scientific literature and risk factors.</p><p><strong>Results and conclusions: </strong>After comprehensive assessment of the literature and analysis of specific risk factors, a list of sinunasal procedures is presented, which should be performed as inpatient procedures. We present a checklist for in- and outpatient sinunasal procedures, which considers social, medical and surgical factors as well as the use of nasal packing materials. Furthermore, a checklist is added to assess, whether patients are ready for discharge after a planned outpatient procedure.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"788-796"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349305","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 : 2024-11-01Epub Date: 2024-11-04DOI: 10.1055/a-2055-2273
John Martin Hempel, Sophia Gantner
{"title":"[Middle Ear Malformations].","authors":"John Martin Hempel, Sophia Gantner","doi":"10.1055/a-2055-2273","DOIUrl":"https://doi.org/10.1055/a-2055-2273","url":null,"abstract":"<p><p>Middle ear malformations (MEMs) represent a diverse group of congenital anomalies with significant implications for auditory function. These malformations, which occur in approximately 0.5 to 3% of conductive hearing loss cases, can arise from various genetic and environmental factors. They often manifest unilaterally and may occur in isolation or as part of a syndromic condition. MEMs are closely associated with abnormalities of the external ear and less frequently with inner ear anomalies.Embryologically, the middle ear develops from the first and second pharyngeal arches, with interactions between the ectoderm and endoderm contributing to the formation of essential structures such as the tympanic membrane, ossicles and Eustachian tube. Disruptions in these developmental processes can lead to a spectrum of MEMs, ranging from minor defects to severe malformations affecting multiple middle ear components.Clinical management of MEMs requires a multidisciplinary approach, involving otolaryngologists, pediatricians, and audiologists. Early intervention with appropriate hearing aids, including conventional hearing aids and bone conduction devices, is essential to mitigate the impact of conductive hearing loss on speech and language development, particularly in children.Surgical planning involves comprehensive preoperative assessment, including high-resolution computed tomography imaging to evaluate middle ear anatomy, the facial nerve course, and vascular anomalies. Traditional surgical approaches such as stapesplasty and tympanoplasty remain mainstays for correcting specific middle ear defects, while advances in technology have expanded the role of active middle ear implants in treating special cases.In conclusion, MEMs represent a heterogeneous group of congenital anomalies with diverse etiologies and clinical implications. A thorough understanding of their embryological basis, genetic underpinnings, and surgical management strategies is crucial for optimizing outcomes in affected individuals.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"103 11","pages":"802-815"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576279","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 : 2024-11-01Epub Date: 2024-09-30DOI: 10.1055/a-2351-1500
Rainer K Weber, Thomas Deitmer, Jan Löhler, Christoph Aletsee, Ingo Baumann, Christian Betz, Achim Beule, Robert Böscke, Andreas Dietz, Vanessa Harnischmacher, Frank Haubner, Werner Heppt, Anna Sophie Hoffmann, Thomas K Hoffmann, Werner Hosemann, Thomas Kühnel, Martin Laudien, Bernhard Olzowy, Kim-Victoria Seibert, Fabian Sommer, Thomas Verse, Susanne Wiegand, Tanja Hildenbrand
{"title":"[Survey on the use of nasal tamponades in sinunasal surgery].","authors":"Rainer K Weber, Thomas Deitmer, Jan Löhler, Christoph Aletsee, Ingo Baumann, Christian Betz, Achim Beule, Robert Böscke, Andreas Dietz, Vanessa Harnischmacher, Frank Haubner, Werner Heppt, Anna Sophie Hoffmann, Thomas K Hoffmann, Werner Hosemann, Thomas Kühnel, Martin Laudien, Bernhard Olzowy, Kim-Victoria Seibert, Fabian Sommer, Thomas Verse, Susanne Wiegand, Tanja Hildenbrand","doi":"10.1055/a-2351-1500","DOIUrl":"10.1055/a-2351-1500","url":null,"abstract":"<p><strong>Objective: </strong>Currently, there is an intensive discussion about enhancing and expanding outpatient rhinosurgical procedures. Many questions about how to stratify into out- and inpatient procedures are still not sufficiently clarified. Particularly, the use of nasal packing materials is not adequately discussed.</p><p><strong>Material and methods: </strong>We performed a Germany-wide survey among otorhinolaryngologists regarding the use of nasal packing materials in sinonasal surgery. Additionally, we asked for any complication in relation to nasal packing.</p><p><strong>Results: </strong>In 85,6% nasal packing was used for septal and turbinate surgery at least occasionally, in 44,2% always. In sinus surgery these numbers are 94,1% and 49%, respectively. Non-resorbable nasal packing materials were predominantly used.Most frequent complications were bleeding with nasal packing in situ (> 50% of respondents) and posterior dislocation (24% of respondents), requiring emergency treatment. Death was listed in 5 patients. One patient suffered from permanent brain damage due to hypoxia.</p><p><strong>Conclusions: </strong>Application of non-resorbable nasal packing materials with occlusion of the nasal cavity carry a substantial risk of complications, which necessitate emergency treatment, thus requiring inpatient care.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"779-787"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349306","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 : 2024-11-01Epub Date: 2024-02-26DOI: 10.1055/a-2231-9282
Gabriele Molteni, Elisa Laura, Guglielmo Ronzani, Andrea Sacchetto, Daniele Marchioni
{"title":"[An atypical medial canthal mass: a case of lacrimal sac inverted papilloma with literature review].","authors":"Gabriele Molteni, Elisa Laura, Guglielmo Ronzani, Andrea Sacchetto, Daniele Marchioni","doi":"10.1055/a-2231-9282","DOIUrl":"10.1055/a-2231-9282","url":null,"abstract":"<p><strong>Background: </strong>Lacrimal sac localization of an Inverted Papilloma is extremely rare and no risk factors are reported in literature.</p><p><strong>History: </strong>A chemical trauma was followed by a painless, growing mass in the medial canthal area associated with epiphora.</p><p><strong>Findings: </strong>Rhinoendoscopy, Computed Tomography and Magnetic Resonance showed a well-defined mass in left lacrimal fossa extended to the nasolacrimal duct.</p><p><strong>Treatment: </strong>An endoscopic resection and a dacryocystorhinostomy were performed.</p><p><strong>Conclusion: </strong>The aim of the present study is to show an atypical presentation of a well-known tumor along with a suspicious risk factor and to lead otolaryngologists to consider an inverted papilloma of the lacrimal system among lesions causing lateral nasal swelling.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"797-799"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139972514","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 : 2024-11-01Epub Date: 2024-03-12DOI: 10.1055/a-2249-2785
Stefan Kniesburges
{"title":"[Larynx Models in Voice Research and their Applications].","authors":"Stefan Kniesburges","doi":"10.1055/a-2249-2785","DOIUrl":"10.1055/a-2249-2785","url":null,"abstract":"<p><p>In this work, different types of larynx models are introduced and their applications with regard to voice generation are shown with two examples: ventricular folds impact and endoscopic evaluation of vocal fold tissue characteristics.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"775-778"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140110622","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 : 2024-11-01Epub Date: 2024-09-26DOI: 10.1055/a-2251-0672
Charles Schmit, Verena Strasser, Helen Heppt, Veronika Innerhofer, Timo Gottfried, Benedikt Hofauer, Daniel Dejaco
{"title":"[Ultrasound - part 5: closer look at sinus sonography].","authors":"Charles Schmit, Verena Strasser, Helen Heppt, Veronika Innerhofer, Timo Gottfried, Benedikt Hofauer, Daniel Dejaco","doi":"10.1055/a-2251-0672","DOIUrl":"10.1055/a-2251-0672","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"772-774"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349307","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 : 2024-11-01Epub Date: 2024-11-04DOI: 10.1055/a-2358-1817
G Schneider, T Grap, M Liedtke, B Mahler, O Michel, W Römer, F Weisgerber, U Wolf, I Wolters
{"title":"Arbeitsbedingte Lärmexposition – wann besteht eine relevante Einwirkung?","authors":"G Schneider, T Grap, M Liedtke, B Mahler, O Michel, W Römer, F Weisgerber, U Wolf, I Wolters","doi":"10.1055/a-2358-1817","DOIUrl":"https://doi.org/10.1055/a-2358-1817","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"103 11","pages":"800-801"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576286","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 : 2024-11-01Epub Date: 2024-11-04DOI: 10.1055/a-2365-9717
{"title":"Budesonid-Therapie bei chronischer Rhinosinusitis mit Nasenpolypen.","authors":"","doi":"10.1055/a-2365-9717","DOIUrl":"https://doi.org/10.1055/a-2365-9717","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"103 11","pages":"769-770"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576222","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}