Laryngo-rhino-otologiePub Date : 2026-05-01Epub Date: 2025-09-09DOI: 10.1055/a-2686-8156
Mohammed Almasri, Peter Jecker, Jiri Podzimek
{"title":"[A suspicious lesion of the temple: when ultrasound prevails over MRI].","authors":"Mohammed Almasri, Peter Jecker, Jiri Podzimek","doi":"10.1055/a-2686-8156","DOIUrl":"10.1055/a-2686-8156","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"315-318"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030148","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 : 2026-05-01Epub Date: 2025-10-10DOI: 10.1055/a-2681-5401
Dietmar Hecker, Lukas Pillong, Katharina Reuss, Kristian Heiko Friedrich, Jan Alexandersson, Maurice Rekrut, Maximilian Linxweiler, Alessandro Bozzato, Bernhard Schick, Patrick Metzler
{"title":"[Novel analysis method to determine the neural activation function of the inner hair cell].","authors":"Dietmar Hecker, Lukas Pillong, Katharina Reuss, Kristian Heiko Friedrich, Jan Alexandersson, Maurice Rekrut, Maximilian Linxweiler, Alessandro Bozzato, Bernhard Schick, Patrick Metzler","doi":"10.1055/a-2681-5401","DOIUrl":"10.1055/a-2681-5401","url":null,"abstract":"<p><strong>Objectives: </strong>Sensorineural hearing loss (SNH) is one of the most common forms of hearing loss. A special form of SNH is hidden hearing loss (HHL) with subjective normal hearing. Current research results indicate that these patients demonstrate a reduced wave I in the averaged signal of brainstem audiometry (ABR). Since the averaging technique is not susceptible to latency jitter and amplitude height variation, a single sweep analysis is required for a deeper insight in HHL.</p><p><strong>Material and methods: </strong>A total of 14 mice with significantly different calcium currents in the IHC at normal hearing thresholds were analysed. For the analysis in order to calculate four new parameters from the single sweeps in the time window of wave I. These parameters also served to describe a neural activation function (NAV).</p><p><strong>Results: </strong>Looking at the wild type all new parameters differ significantly or highly significantly. With the transgenic mouse, there are only non-significant to significant differences. There is also a significant difference in the neural activity demonstrated in the resting EEG between the wild-type mouse and the mutant. There is a negative correlation between the wave amplitudes for the wild mouse - after a strong amplitude follows a weak amplitude and after weak amplitude follows a strong amplitude.</p><p><strong>Conclusions: </strong>Using new parameters based on single sweeps, surprising results are obtained. Obviously the function of the IHC correlates more strongly with the new parameters than it does with the average amplitude of wave I. The new parameters appear to be excellently suited for the diagnosis of hearing disorders even when hearing thresholds are still according to norm values.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"304-314"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275097","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}
Vanessa Hoffmann, Karl-Ludwig Bruchhage, Anke Leichtle
{"title":"Quality of life in children with active middle ear implants: A Scoping Review.","authors":"Vanessa Hoffmann, Karl-Ludwig Bruchhage, Anke Leichtle","doi":"10.1055/a-2833-5861","DOIUrl":"10.1055/a-2833-5861","url":null,"abstract":"<p><strong>Background: </strong>Active middle ear implants (AMEIs), particularly the Vibrant Soundbridge (VSB), are established treatment options for children with conductive or mixed hearing loss when conventional devices are insufficient or poorly tolerated. While audiological outcomes are well documented, evidence on health-related quality of life (HrQoL) in pediatric patients remains limited.</p><p><strong>Objective: </strong>This scoping review aimed to map and summarize existing evidence on HrQoL in children and adolescents fitted with AMEIs.</p><p><strong>Methods: </strong>A scoping review was conducted following Arksey and O'Malley and Joanna Briggs Institute guidelines. PubMed and Web of Science were searched in October and November 2025. Qualitative and quantitative studies assessing HrQoL in children and adolescents (0-18 years) with AMEIs were included. Study selection and data extraction were performed independently by two reviewers.</p><p><strong>Results: </strong>Four studies met the inclusion criteria, mainly involving preschool and school-aged children implanted with the VSB due to congenital or unilateral aural atresia. AMEI use was associated with improved auditory performance and positive patient- or parent-reported outcomes. HrQoL was assessed using generic (e.g., KINDL-R) and hearing-specific instruments (e.g., SSQ12, APHAB). Reported benefits included better communication, social participation, emotional well-being, and high device acceptance. Long-term data indicated stable audiological and subjective outcomes. However, studies were few, sample sizes small, and outcome measures heterogeneous.</p><p><strong>Conclusion: </strong>Current evidence suggests that AMEIs can positively affect hearing-related quality of life in children, extending beyond audiological benefit to psychosocial domains. Nevertheless, the evidence base is limited and methodologically heterogeneous. Future studies should apply standardized, validated pediatric HrQoL instruments and longitudinal designs to better capture developmental and everyday-life impacts.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816872","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":"[Botulinum toxin reduces sweat-related problems for hearing aid users - a clinical study].","authors":"Shabnam Shahpasand, Rainer Laskawi, Jenny Blum, Nicola Strenzke, David Oestreicher, Dirk Beutner","doi":"10.1055/a-2850-4392","DOIUrl":"https://doi.org/10.1055/a-2850-4392","url":null,"abstract":"<p><strong>Objective: </strong>Excessive sweating in the head area may cause skin irritation, increased energy consumption, and functional impairment of hearing aids and semi-implantable hearing systems. This study investigated the frequency of sweat-related complaints and evaluated the effectiveness of intracutaneous Botulinumtoxin A (BoNT-A) injections for treating local hyperhidrosis in hearing aid and implant users.</p><p><strong>Material and methods: </strong>In this single-center observational study, 51 users of cochlear implants, active middle ear implants, bone conduction devices, or conventional hearing aids completed a 12-item questionnaire addressing sweat production and device-related problems. Patients with severe hyperhidrosis received intracutaneous BoNT-A treatment (n = 6).</p><p><strong>Results: </strong>Frequent sweating in the head area was reported by 22/51 patients (43%), while 17/51 (33%) reported occasional sweating. Local skin problems occurred in 35/51 patients (69%). Increased energy consumption and impaired wearing comfort or device function were each reported by 16/51 patients (31%). All patients treated with BoNT-A reported marked symptom improvement, with no further functional impairment.</p><p><strong>Conclusion: </strong>The collected data reveals a significant number of patients with sweat-related problems and suggests that increased sweat production is associated with clinically relevant impairments in some of the respondents and may lead to skin irritation and technical malfunctions of the hearing aids. Intracutaneous BoNT-A injections are an effective, safe, and practical treatment option for reducing hyperhidrosis-related complaints in this area.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775508","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 : 2026-04-01Epub Date: 2026-04-02DOI: 10.1055/a-2836-7882
Milena Gojnic, Thomas Karl Hoffmann, Gabriel Gschwend, Raphael Fernando Leitgeb, Jörg Lindemann
{"title":"[Correction: Effectiveness of adeno(tonsillo)tomy for obstructive sleep apnea in preschool children].","authors":"Milena Gojnic, Thomas Karl Hoffmann, Gabriel Gschwend, Raphael Fernando Leitgeb, Jörg Lindemann","doi":"10.1055/a-2836-7882","DOIUrl":"https://doi.org/10.1055/a-2836-7882","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 4","pages":"239-244"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609265","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 : 2026-04-01Epub Date: 2025-09-16DOI: 10.1055/a-2681-5314
Leon Guchlerner, Michael Hogardt, Valentina Ilievski, Iris Burck, Johanna Kessel, Martin Leinung, Timo Stöver, Marc Diensthuber
{"title":"Pseudomonas aeruginosa remains the dominant pathogen in osteomyelitis of the temporal bone.","authors":"Leon Guchlerner, Michael Hogardt, Valentina Ilievski, Iris Burck, Johanna Kessel, Martin Leinung, Timo Stöver, Marc Diensthuber","doi":"10.1055/a-2681-5314","DOIUrl":"10.1055/a-2681-5314","url":null,"abstract":"<p><p>Osteomyelitis of the temporal bone (OTB) is a rare inflammatory disease that can spread from the ear canal to adjacent soft tissue and bone structures. This expansion is challenging to treat and thus can become life-threatening. The detection of the causative pathogen is crucial for successful therapy. Current studies have revealed a diverse spectrum of pathogenic microorganisms in OTB. The aim of our study was to compare the microbiological background of our OTB-patients with data in recent literature.In this retrospective, single-center study patients diagnosed with OTB over a 10-year period were included (n=39). We analyzed the microbiological spectrum, clinical symptoms, radiological findings and course of the disease.Most common symptoms were otalgia (n=29, 74.4%) and otorrhea (n=24, 61.5%). Microbiological assessment showed most frequently <i>P. aeruginosa</i> (n=21, 53.8%) and the detection of this pathogen was associated with increased CRP levels (p<0.05). Computed tomography showed a washed-out bone texture of the petrous bone in 38 patients (97.4%). During the follow-up period 10 patients (25.6%) reported an improvement of symptoms, whereas 23 patients (59.0%) described their persistence. Four patients (10.3%) died.In contrast to recently published data, in our patient cohort <i>P. aeruginosa</i> remains the most common and challenging causative pathogen of OTB. Therefore, when selecting an empirical therapy attention should always be given to its efficacy against this pathogen.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"231-238"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075592","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}