Laryngo-rhino-otologie最新文献

[Ophthalmological and interdisciplinary surgical approaches to the orbit]. 眼眶的眼科和跨学科手术入路。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-22 DOI: 10.1055/a-2590-2364

Eckart Bertelmann

引用次数: 0

[Cervical Mass with Oropharyngeal Involvement: From Imaging to Therapy]. 宫颈肿块累及口咽：从影像学到治疗。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-13 DOI: 10.1055/a-2600-4453

Betül Karayay, Heidi Olze, Steffen Dommerich

引用次数: 0

[Assessment of Flexible Single-Use Rhinolaryngoscopes with Working Channel in the Upper Airways]. [上呼吸道有工作通道的一次性柔性鼻咽喉镜的评估]。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-08 DOI: 10.1055/a-2595-9588

Alina Franzen, Julia Philipp, Benjamin Philipp Ernst, Tim Koppen, Katharina Thum, Martin Michael Sailer, Jan Hagemann, Kai Helling, Julian Künzel, Sven Becker, Stephan Wolpert

{"title":"[Assessment of Flexible Single-Use Rhinolaryngoscopes with Working Channel in the Upper Airways].","authors":"Alina Franzen, Julia Philipp, Benjamin Philipp Ernst, Tim Koppen, Katharina Thum, Martin Michael Sailer, Jan Hagemann, Kai Helling, Julian Künzel, Sven Becker, Stephan Wolpert","doi":"10.1055/a-2595-9588","DOIUrl":"https://doi.org/10.1055/a-2595-9588","url":null,"abstract":"Flexible rhinolaryngoscopy is a frequently used ENT examination method. It is usually performed with reusable endoscopy systems. Since 2019, flexible single-use rhinolaryngoscopes from various manufacturers with and without a working channel are available on the German market. In recent years, hygiene requirements and specifications for reprocessing reusable endoscopes have increased significantly.This study uses questionnaires to evaluate user satisfaction with the Ambu disposable endoscopy system with working channel in a bicentre observational study.The overall impression of the disposable endoscopy system with working channel was rated as \"very good\" in half of the applications. Image quality and handling were predominantly rated as \"good\" to \"very good\". The simultaneously usage of instruments through the working channel is a challenge.Single-use rhinolaryngoscopy systems offer excellent handling, image quality and user satisfaction. There is a high level of security with regard to contamination risks and complication rates. Compliance with current hygiene guidelines can lead to increasing expenses in the reprocessing of reusable endoscopy systems and make disposable endoscopes more attractive in the future. In combination with an integrated working channel, single-use endoscopy systems can offer additional value compared to reusable systems regarding hygienic standards.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027096","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}

引用次数: 0

[In adaptive measurement: Shortened Freiburg monosyllabic test vs. Oldenburg sentence test in noise]. [在适应性测量中：缩短的Freiburg单音节测试与噪声中的Oldenburg句子测试]。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-05 DOI: 10.1055/a-2547-6600

Gero Faustmann, Rainer Schönweiler, Jan Löhler

{"title":"[In adaptive measurement: Shortened Freiburg monosyllabic test vs. Oldenburg sentence test in noise].","authors":"Gero Faustmann, Rainer Schönweiler, Jan Löhler","doi":"10.1055/a-2547-6600","DOIUrl":"https://doi.org/10.1055/a-2547-6600","url":null,"abstract":"The Freiburg speech test is based on an absolute percentage, non-adaptive measurement method for determining speech intelligibility. Adaptive level control makes it possible to precisely and efficiently determine the 50 % speech intelligibility threshold (50 %-SVS) by individually adjusting the speech sound level. Memmeler et al. already successfully conducted the Freiburg monosyllabic test adaptively in noise (aFBE-S) and developed a shortened version based on existing data. The aim of this study was to test the practical applicability of the shortened aFBE-S with 3, 4 and 5 test lists and to compare it with the adaptive Oldenburg sentence test (OLSA-S).40 otologically healthy subjects (18-30 years) took part. They completed the aFBE-S with 3, 4 and 5 test lists and the OLSA-S in random order. The averaged signal-to-noise ratios (SNR), the time required and the influence of gender and order of measurements were investigated.There were no significant differences between the SNR values of the shortened aFBE-S with 3, 4 and 5 test lists and those of the OLSA-S. There were also no significant differences between the results of the aFBE-S with 3, 4 and 5 test lists. The order and gender did not influence the results. The performance of the shortened aFBE-S was significantly faster than that of the OLSA-S and showed less variability.Compared to the OLSA-S, the shortened aFBE-S with 3, 4 and 5 test lists provides comparable SNR values in a shorter test time. The aFBE-S with 3 test lists proves to be sufficient and can be recommended for clinical practice.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989936","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}

引用次数: 0

[Harmful health effects of flavors in e-cigarettes]. [电子烟中的香料对健康的有害影响]。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-01 Epub Date: 2024-07-12 DOI: 10.1055/a-2341-0544

Natascha Sommer, Klaas Franzen, Stefan Andreas, Wulf Pankow, Wilfried Kunstmann, Reiner Hanewinkel

引用次数: 0

Inclusion of a rehabilitation intervention in the catalogue of follow-up rehabilitation using the example of cochlear implant follow-up treatment. 以人工耳蜗的随访治疗为例，将康复干预纳入随访康复目录。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-01 Epub Date: 2025-05-05 DOI: 10.1055/a-2545-3341

Stefanie Bruschke, Roland Zeh, Uwe Baumann, Silke Helbig, Timo Stöver

{"title":"Inclusion of a rehabilitation intervention in the catalogue of follow-up rehabilitation using the example of cochlear implant follow-up treatment.","authors":"Stefanie Bruschke, Roland Zeh, Uwe Baumann, Silke Helbig, Timo Stöver","doi":"10.1055/a-2545-3341","DOIUrl":"https://doi.org/10.1055/a-2545-3341","url":null,"abstract":"As part of a medical treatment or surgical procedure, a rehabilitation programme can be provided. This rehabilitation can also be carried out as so-called follow-up treatment (in German: \"Anschlussheilbehandlung\", AHB). The German Pension Insurance (Deutsche Rentenverischerung, DRV) has defined several medical interventions that can be conducted by AHB in a catalogue of medical indications. This catalogue is regularly revised and expanded if necessary. This paper describes the process of including cochlear implant (CI) follow-up therapy in the AHB indication catalogue. This process can be considered exemplary for other rehabilitative procedures.The first task was to organize the process of CI treatment in such a way that the formal requirements for AHB were met. The main requirement was that the rehabilitation programme be started within 14 days of discharge from hospital. To ensure this, the initial fitting of the CI processor (as part of the basic therapy) must have taken place beforehand. The concept of early fitting of the CI processor (within 2 to 3 days after surgery) was successfully confirmed in a feasibility study. In a subsequent pilot project, the feasibility and safety of early rehabilitation after CI fitting was also demonstrated. This provided proof in principle of the feasibility of this measure as AHB. After the results of the pilot study were reviewed by the German Medical Service, rehabilitation after CI surgery was included in the DRV's AHB indication catalogue in September 2024.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"104 5","pages":"304-310"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974636","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}

引用次数: 0

[Rarely occurring or rarely diagnosed? Spasmodic dysphonia]. [很少发生还是很少诊断？痉挛性发声困难)。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-01 Epub Date: 2025-05-05 DOI: 10.1055/a-2327-5862

Helena Moratin, Fabian Kraus, Stephan Hackenberg

{"title":"[Rarely occurring or rarely diagnosed? Spasmodic dysphonia].","authors":"Helena Moratin, Fabian Kraus, Stephan Hackenberg","doi":"10.1055/a-2327-5862","DOIUrl":"https://doi.org/10.1055/a-2327-5862","url":null,"abstract":"Spasmodic dysphonia (SD) is a rare, chronic voice disorder characterized by involuntary spasms of the laryngeal muscles, leading to disrupted voice quality. The disorder is classified as a type of focal dystonia. The laryngeal spasms cause the voice to break, tremble, or sound strained and can manifest as adductor SD, which results in a tight, strangled voice, or abductor SD, which produces a breathy, whisper-like sound. The precise etiology of spasmodic dysphonia remains unclear, but it is believed to have a neurological basis, often associated with abnormalities in the central nervous system. Patients with SD typically experience a significant impact on communication and quality of life, as the condition can make speaking effortful and socially challenging. The diagnosis is based on a thorough medical history, voice assessment, and clinical-endoscopic examination. While there is no cure for SD, treatment options focus on symptom management. The most common intervention is the injection of botulinum toxin A (Botox) into the affected laryngeal muscles, temporarily reducing muscle overactivity and improving voice quality. Other therapeutic approaches include voice therapy and, in some cases, surgical procedures, although these may offer varying degrees of efficacy.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"104 5","pages":"319-330"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002690","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}

引用次数: 0

Fall Stimmlippenknötchen. 案子Stimmlippenknötchen .

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-01 Epub Date: 2025-05-05 DOI: 10.1055/a-2518-6889

Gerlind Schneider

引用次数: 0

[From the expert opinion practice: Controversial expert opinion cases in the field of military medicine from a consultant physician's point of view]. 【来自专家意见实践：从顾问医师的角度看军事医学领域有争议的专家意见案例】。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-01 Epub Date: 2025-05-05 DOI: 10.1055/a-2518-6697

Iver Loennecken, Tilman Brusis

引用次数: 0

[How to identify cystic lateral neck mass from CUP-like lesions: a diagnostic challenge]. 如何从杯状病变中鉴别出颈侧囊性肿块：一个诊断挑战。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-05-01 Epub Date: 2025-01-09 DOI: 10.1055/a-2496-2775

Christina Sauter, Matthias Sand, Karim Plath, Michaela Maria Plath

{"title":"[How to identify cystic lateral neck mass from CUP-like lesions: a diagnostic challenge].","authors":"Christina Sauter, Matthias Sand, Karim Plath, Michaela Maria Plath","doi":"10.1055/a-2496-2775","DOIUrl":"10.1055/a-2496-2775","url":null,"abstract":"A cystic lateral neck mass in adults represents a major challenge, as it can be difficult to distinguish between benign and malignant lesions. The incidence of carcinoma in initially benign treated neck cysts is estimated to be as high as 24%. The objective of this study was to ascertain the malignancy rate of cystic cervical masses and to provide a differentiation of cervical metastases in comparison to benign cervical cysts, utilising current guidelines.Between 2013 and 2023, a total of 155 patients with a suspected diagnosis of lateral neck cyst were recruited at the Department of Otorhinolaryngology at our University Hospital. All patients underwent cyst removal, either alone or in conjunction with panendoscopy.A histologically confirmed ipsilateral lymph node metastasis was identified in 21.9% of patients. The mean age of patients with malignant neck masses was significantly higher than that of patients with benign neck masses (64.0±12.8 versus 41.0±15.8; p<0.001). The probability of malignancy was low in patients younger than 54 years (11%), but increased markedly to 80% in the age group of 60-69 years. The clinical sensitivity for initial suspicion of a benign neck cyst was 60.3%, while the specificity was 48.7%.An individualized approach is necessary for the early diagnosis and treatment of unilateral neck cysts, as this condition requires a multifaceted assessment based on the patient's medical history, clinical findings, imaging, and clinical expertise. We advise that patients over the age of 40 years undergo image morphological staging, a \"no-touch\" panendoscopy, and histological confirmation.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"296-303"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950894","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}

引用次数: 0