{"title":"[Functional, Radiological and Endoscopic Diagnostic of Tracheal Diseases].","authors":"Erich Stoelben","doi":"10.1055/a-2657-8571","DOIUrl":"https://doi.org/10.1055/a-2657-8571","url":null,"abstract":"<p><p>Diseases of the trachea are rare, while other diseases associated with shortness of breath and pulmonary symptoms are common, which is why the necessary diagnosis and therapy are regularly delayed. At the same time, diseases range from simple scarring stenosis to extensive tumour disease. Patients may be otherwise healthy, suffer from autoimmune disease, or have severe general illnesses, as in tracheotomised patients. Therefore, history and clinical examination provide very important clues to a disease of the trachea. Subsequent diagnostics should be ordered in a reasonable manner and lead to the correct diagnosis and subsequent therapy in a timely manner. Functional, radiological and endoscopic examinations, each with a special focus in experienced hands, avoid duplicate examinations or misinterpretations. Patients are grateful because diseases of the trachea - a central airway that cannot be bypassed - are experienced as life-threatening or at least as severely limiting the quality of life.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784569","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 : 2025-08-01Epub Date: 2025-01-13DOI: 10.1055/a-2503-5925
Jiri Podzimek, Mihaly Peca, Peter Jecker
{"title":"[A lump on the collarbone: a suspected cancer or a false lead?]","authors":"Jiri Podzimek, Mihaly Peca, Peter Jecker","doi":"10.1055/a-2503-5925","DOIUrl":"10.1055/a-2503-5925","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"513-515"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979022","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 : 2025-08-01Epub Date: 2025-08-04DOI: 10.1055/a-2563-1812
J A Werner, J P Windfuhr
{"title":"Eingriffe an Hals, Ösophagus und Mediastinum.","authors":"J A Werner, J P Windfuhr","doi":"10.1055/a-2563-1812","DOIUrl":"https://doi.org/10.1055/a-2563-1812","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"104 8","pages":"533-535"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784616","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 : 2025-08-01Epub Date: 2024-12-03DOI: 10.1055/a-2463-4599
Claudia Scherl, Sonja Ludwig, Jürgen Hesser, Sara MonjiAzad, Jan Stallkamp, Frederic Jungbauer, Frederik Enders, Cleo-Aron Weis, Nicole Rotter
{"title":"[Augmented Reality in head and neck surgery].","authors":"Claudia Scherl, Sonja Ludwig, Jürgen Hesser, Sara MonjiAzad, Jan Stallkamp, Frederic Jungbauer, Frederik Enders, Cleo-Aron Weis, Nicole Rotter","doi":"10.1055/a-2463-4599","DOIUrl":"10.1055/a-2463-4599","url":null,"abstract":"<p><p>Augmented Reality (AR) is an emerging technology that supports surgeons in spatial reasoning during clinical procedures. The most fascinating applications include visualizations of anatomical structures, cross-sectional images or surgical approaches, which can be displayed directly on the patient in combination with the real world. The aim of this narrative review is to outline the state of the art and future directions of AR in head and neck surgery. Particular attention is paid to explaining the potential and the difficulties that still need to be solved with this new technology.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"487-497"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770096","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 : 2025-08-01Epub Date: 2025-08-04DOI: 10.1055/a-2563-1770
{"title":"Sprechen Sie über die TNM-Klassifikation bei Larynxtumoren!","authors":"","doi":"10.1055/a-2563-1770","DOIUrl":"https://doi.org/10.1055/a-2563-1770","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"104 8","pages":"532"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784622","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 : 2025-08-01Epub Date: 2025-08-04DOI: 10.1055/a-2330-8299
Angela Schell, Nicole Rotter, Lena Zaubitzer
{"title":"[Vestibular Assessment in Children].","authors":"Angela Schell, Nicole Rotter, Lena Zaubitzer","doi":"10.1055/a-2330-8299","DOIUrl":"https://doi.org/10.1055/a-2330-8299","url":null,"abstract":"<p><p>Dizziness is a common symptom not only in adults but also in children, with a rising incidence in recent years. The prevalence of vestibular disorders in the pediatric population ranges between 0.4% and 15%, depending on the study. While both genders are equally affected in childhood, females are more frequently diagnosed after puberty, a trend persisting into old age. Migraine-associated vertigo, such as benign paroxysmal childhood vertigo (BPVC) and vestibular migraine, accounts for up to 50% of pediatric cases. These conditions manifest as sudden, short-lived dizziness episodes with rapid recovery. In addition to migraine-associated forms, classical peripheral vestibular disorders-including vestibular neuritis, benign paroxysmal positional vertigo (BPPV), and endolymphatic hydrops-can also occur in children but are often diagnosed late due to non-specific symptoms and difficulties in symptom description.Vestibular function is crucial for cognitive and motor development, influencing spatial orientation, attention, and executive functions. Children with vestibular dysfunction often exhibit delayed motor milestones and compromised postural control. Despite the availability of objective diagnostic methods like the video head impulse test (vHIT) and vestibular-evoked myogenic potentials (VEMPs), there is no standardized pediatric vestibular diagnostic protocol. Therefore, vestibular disorders should be considered in differential diagnoses, especially in children with dizziness, motor developmental delays, or those undergoing cochlear implant surgery. Early diagnosis enables targeted interventions, such as vestibular physiotherapy, to support affected children. This review highlights the necessity of pediatric vestibular diagnostics and proposes a practical approach to assessing balance function in children.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"104 8","pages":"518-530"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784614","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 : 2025-08-01Epub Date: 2024-12-16DOI: 10.1055/a-2481-5202
Reiner Hanewinkel, Julia Hansen
{"title":"[Use of nicotine pouches in childhood and adolescence].","authors":"Reiner Hanewinkel, Julia Hansen","doi":"10.1055/a-2481-5202","DOIUrl":"10.1055/a-2481-5202","url":null,"abstract":"<p><p>Unlike Swedish snus, nicotine pouches do not contain tobacco. Nicotine pouches are placed under the upper lip so that nicotine and other ingredients can be absorbed through the oral mucosa. Since 2021, they have been subject to the Foodstuffs Act in Germany and are not marketable due to their high nicotine content. The prevalence of nicotine pouch use in children and adolescents is being investigated.As part of the \"Prevention Radar\" observational study, a random sample of 12,655 pupils in grades 5 to 10 from 14 federal states were recruited to answer a questionnaire in the 2022/2023 school year. The average age was 13.2 years (SD=1.72). The gender ratio was balanced (49% girls). The primary endpoint of the cross-sectional study was the lifetime prevalence of nicotine pouch use.The lifetime prevalence of nicotine pouch use in the total sample was 5.4% [95% CI 4.9-5.8]. Use was more common among boys (6.3% [95% CI 5.6-6.9]) than girls (3.5% [95% CI 3.0-4.0]) and increased with age. At the age of 16/17 years, 15.2% [95% CI 12.3-18.7] of boys and 10.3% [95% CI 7.8-13.6] of girls had used nicotine pouches. Consumption covaried positively with sensation seeking, negatively with subjective social status and occurred less frequently in grammar schools. Almost all children and adolescents with consumption experience had also smoked other nicotine products (e-cigarettes, tobacco cigarettes and water pipes).Although not marketable, one in seven male pupils and one in ten female pupils aged 16/17 had used nicotine pouches at least once.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"505-512"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837343","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 : 2025-08-01Epub Date: 2025-02-20DOI: 10.1055/a-2520-3439
Lisa Schulte-Göbel, Maximilian Linxweiler, Klaus Fassbender, Mathias Fousse, Silke Walter, Alessandro Bozzato, Bernhard Schick, Dietmar Hecker
{"title":"[Modified neuronal processing of oVEMPs in patients with multiple sclerosis].","authors":"Lisa Schulte-Göbel, Maximilian Linxweiler, Klaus Fassbender, Mathias Fousse, Silke Walter, Alessandro Bozzato, Bernhard Schick, Dietmar Hecker","doi":"10.1055/a-2520-3439","DOIUrl":"10.1055/a-2520-3439","url":null,"abstract":"<p><p>Multiple sclerosis (MS) is a disease of the central nervous system, which is reflected in impaired transmission of impulses due to damage to the myelin layer. In addition to the visual evoked potentials, the vestibular evoked myogenic potentials (VEMPs) are increasingly considered for diagnosis. Due to a low signal-to-noise ratio, several hundred stimulus responses are usually averaged in order to determine the amplitude and latencies from these curves. However, this averaging procedure also filters out information that, if taken into account, could provide further insights into the course of the disease.16 young patients with MS and an EDSS score of 1.4 ± 0.6 were compared with 92 healthy subjects of the same age. Amplitude, latency, AR and five new parameters from the analysis were used as parameters from the tactile evoked oVEMPs.The total n10 amplitude and the n10 amplitude on the left side showed relevant differences though not reaching statistical significance. In contrast, the n10 amplitude on the right side and the LSD parameter were not significantly different. All n10 latencies and the AR as well as all parameters from the novelty analysis were significantly different.On the one hand, the present study confirms already known changes in the registration of oVEMPs in patients with MS compared to healthy subjects and, on the other hand, the new parameters have the potential to better describe the current state of the disease and to provide detailed information about the current state of myelination or the site of pathophysiological processes within the CNS.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"498-504"},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468389","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}