Laryngo-rhino-otologie最新文献_第2页

Eingriffe an den Speicheldrüsen. 唾液腺的功能。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1055/a-2907-1409

Orlando Guntinas-Lichius

引用次数: 0

[Intracranial frontal mucocele associated with fronto-orbito-ethmoidal osteoma]. 颅内额部黏液囊肿伴额眶筛骨瘤。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-10-01 Epub Date: 2026-07-21 DOI: 10.1055/a-2885-0277

Delin Pai, Alexander Lein, Anes Dada, Daniel Deuter, Tommaso Araceli, Kornelia Andorfer, Nils-Ole Schmidt, Amer Haj

引用次数: 0

[Multiple plexiform neurofibromas as a rare differential diagnosis of a parotid tumor]. [多发性丛状神经纤维瘤作为腮腺肿瘤的罕见鉴别诊断]。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-10-01 Epub Date: 2026-07-31 DOI: 10.1055/a-2900-3385

Melis Üzbe, Jan Heidemann, Niklas Prenißl, Veit M Hofmann

引用次数: 0

[Survey on clinical practice regarding auditory processing disorders in german-speaking countries]. 德语国家听觉加工障碍临床实践调查

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-10-01 Epub Date: 2026-07-17 DOI: 10.1055/a-2906-9449

Sylvia Meuret, Lissy Rinneberg-Schmidt, Susanne Wagner, Katharina Kubitz, Michael Fuchs

{"title":"[Survey on clinical practice regarding auditory processing disorders in german-speaking countries].","authors":"Sylvia Meuret, Lissy Rinneberg-Schmidt, Susanne Wagner, Katharina Kubitz, Michael Fuchs","doi":"10.1055/a-2906-9449","DOIUrl":"10.1055/a-2906-9449","url":null,"abstract":"Objective: To date, there has been no survey of current clinical practice for auditory processing disorders (APD) in German-speaking countries.Material and methods: A link to an online survey consisting of 20 questions was distributed via the German Society of Phoniatrics and Pediatric audiology and the Swiss Society of Phoniatrics. A single reminder regarding the survey was sent out four weeks later.Results: 154 participants completed the questionnaire (response rate: 46.1%), of whom 48% worked in a private practice and 41% at a tertiary care facility.Results: The primary patient population for APD assessment consists of children up to 12 years of age; however, adolescents and adults are also examined at many facilities. 58% do not perform screening prior to a comprehensive APD assessment. When asked about the exclusion criteria for APD outlined in the European consensus paper, 14% of respondents conduct a comprehensive APD assessment on patients with peripheral hearing loss, 22% on patients with a total IQ <80, and 49% on children under 7 years of age. Directional hearing testing is the most common non-speech-based, central hearing test (50%). Among speech-based tests, the dichotic test (89%), Mottier test (80%), and the Heidelberg Sound Discrimination Test (H-LAD) (75%) are frequently used.Conclusions: As part of the update to the relevant guideline, it seems appropriate to propose clearer recommendations for the assessment and treatment of APD in German-speaking countries. Furthermore, the guideline should cover children, adolescents, and adults.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"634-640"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471465","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

Praxisabgabe in Zeiten des demographischen Wandels. 人口结构变化时期的人口结构。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1055/a-2907-1353

Christine Nord

引用次数: 0

[Success of balloon dilation in subglottic stenosis depending on balloon size]. 球囊扩张治疗声门下狭窄的成功率取决于球囊的大小。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-09-28 DOI: 10.1055/a-2941-0918

Burak Sahan, Martin Laudien

{"title":"[Success of balloon dilation in subglottic stenosis depending on balloon size].","authors":"Burak Sahan, Martin Laudien","doi":"10.1055/a-2941-0918","DOIUrl":"https://doi.org/10.1055/a-2941-0918","url":null,"abstract":"Background: Subglottic stenosis (SGS) is a disease of the upper respiratory tract that restricts airway function. Balloon dilation is an established therapy for the treatment of SGS. This study analyzes the relationship between the intervals after balloon dilation and the balloon size used.Methods: In this retrospective analysis, the interval days of 35 patients after balloon dilation until the recurrence of symptoms were evaluated. The interventions took place between 2019 and 2024. In 12 patients, SGS was caused by granulomatosis with polyangiitis (GPA), while in the remaining patients the cause was idiopathic. A total of 105 balloon dilations were performed with different balloon sizes (14 mm, 16 mm, and 18 mm).Results: No significant differences were observed between the interval days depending on the age of the patients. The median interval for idiopathic SGS after intervention with 18 mm balloons was 381 days, with 16 mm balloons 344 days, and with 14 mm balloons 412 days. In GPA patients, it was 386 days with 18 mm balloons, 282 days with 16 mm balloons, and 244 days with 14 mm balloons. No serious complications occurred. The interval in seropositive GPA patients was longer than in seronegative patients.Conclusion: The present results show that balloon dilatation is a safe and effective method. The median time intervals after balloon dilatation in idiopathic SGS differ only slightly depending on the balloon size. In contrast, a longer time interval is observed in GPA patients, depending on the balloon size. In addition, it can be assumed prognostically that seropositive GPA patients benefit from intervention for a longer period.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075157","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

[Challenges in the management of age-related hearing loss in Germany: HearForFuture]. [在德国管理与年龄相关的听力损失的挑战：心脏未来]。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-09-10 DOI: 10.1055/a-2941-1033

Christiane Völter, Ulrich Hoppe, Annette Limberger, Silke Kuske, Nina Timmesfeld, Christian Günster, Timo Stöver

{"title":"[Challenges in the management of age-related hearing loss in Germany: HearForFuture].","authors":"Christiane Völter, Ulrich Hoppe, Annette Limberger, Silke Kuske, Nina Timmesfeld, Christian Günster, Timo Stöver","doi":"10.1055/a-2941-1033","DOIUrl":"https://doi.org/10.1055/a-2941-1033","url":null,"abstract":"Abstract: Age-related hearing loss (ARHL) is one of the most common chronic conditions in older age and is becoming an increasingly important topic in light of the demographic change. Despite existing effective diagnostic and technical treatment options, ARHL is often still insufficiently or inappropriately treated. The majority of those affected do not receive appropriate care or do not use their hearing systems consistently. Therefore, this research project aims to systematically analyze the situation in people with disabling hearing loss aged 60+ in Germany and, based on this, to develop a future-oriented concept of care. The project applies a mixed-method approach which combines quantitative and qualitative research methods. This involves an analysis of nationwide data of people covered by the statutory health insurances and physician quality assurance data from several KVs (Association of Statutory Health Insurance Physicians), data from qualitative focus group interviews with patients, hearing aid specialists, ENT doctors, and other professionals in healthcare provision. Based on this, nationwide surveys of patients and ENT doctors will be conducted. Additionally, audiometric measurements and data on the use of hearing systems in everyday life using ecological momentary assessment will be collected from subsamples. The results of the different parts of this research project will finally be merged and used in participatory workshops to develop a demand-oriented treatment pathway for people with ARHL. The goal is to create an evidence-based basis for the further development of hearing care for the elderly and to improve the quality of hearing care provision in the long run.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930501","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

Delegation of Technical Aftercare Following Cochlear Implantation. 人工耳蜗植入术后技术护理的委托。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-09-08 DOI: 10.1055/a-2928-7223

Timo Stöver, Thomas Deitmer, Stefan Dazert, Thomas Karl Hoffmann, Stefan K Plontke, Dirk Beutner, Hans-Jürgen Welkoborsky, Antje Aschendorff, Moritz Eypasch, Thomas Zahnert

{"title":"Delegation of Technical Aftercare Following Cochlear Implantation.","authors":"Timo Stöver, Thomas Deitmer, Stefan Dazert, Thomas Karl Hoffmann, Stefan K Plontke, Dirk Beutner, Hans-Jürgen Welkoborsky, Antje Aschendorff, Moritz Eypasch, Thomas Zahnert","doi":"10.1055/a-2928-7223","DOIUrl":"https://doi.org/10.1055/a-2928-7223","url":null,"abstract":"Abstract: Cochlear implant (CI) care in Germany is standardized through the AWMF Clinical Practice Guideline \"Cochlear Implant Care\", the CI White Paper of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), and established certification structures.Abstract: This document, commissioned by the Executive Board of the DGHNO-KHC, provides a professional, organizational, and reimbursement-related framework for the delegation of technical aftercare services based on the CI Clinical Practice Guideline, the CI White Paper, and practical experience from existing guideline-based cooperation models.Abstract: The analysis demonstrates that technical aftercare services can be delegated in accordance with the guideline, provided that delegation is initiated by the responsible cochlear implant providing department (CIVE) within a formal cooperation agreement, the patient's informed consent has been obtained, and overall responsibility for the treatment process remains with the CIVE.Abstract: Delegation may cover individual or all components of technical aftercare; an \"all-or-none principle\" does not apply. Medical and complex audiological aftercare, as well as all audiological and technical services of basic and follow-up therapy, remain non-delegable. External service providers have no independent entitlement to perform technical aftercare. Consent to delegation may be withdrawn at any time by either the CIVE or the patient.Abstract: Reimbursement for technical aftercare services has not yet been standardized nationwide, mainly because contractual arrangements are still lacking.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912751","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

[Can ChatGPT Responses Be Improved by Incorporating S3 Clinical Practice Guidelines?] 纳入S3临床实践指南可以改善ChatGPT反应吗？］

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-09-08 DOI: 10.1055/a-2931-6385

Jannik Johannsen, Sofia Kourou, Malte Suchan, Christopher Kopp, Kariem Scharaf, Shachi Jenny Sharma, Hans Eckel, Julia van de Loo, Charlotte Klasen, Kevin Hansen, Marcel Mayer, Louis Jansen, Alissa Reisewitz, Anne Nobis, Jens Peter Klußmann, Arthur Charpentier

{"title":"[Can ChatGPT Responses Be Improved by Incorporating S3 Clinical Practice Guidelines?]","authors":"Jannik Johannsen, Sofia Kourou, Malte Suchan, Christopher Kopp, Kariem Scharaf, Shachi Jenny Sharma, Hans Eckel, Julia van de Loo, Charlotte Klasen, Kevin Hansen, Marcel Mayer, Louis Jansen, Alissa Reisewitz, Anne Nobis, Jens Peter Klußmann, Arthur Charpentier","doi":"10.1055/a-2931-6385","DOIUrl":"https://doi.org/10.1055/a-2931-6385","url":null,"abstract":"Objective: Large Language Models such as ChatGPT are increasingly being discussed as tools to support medical decision-making. The aim of this study was to investigate whether the quality of responses generated by ChatGPT (GPT-4) to guideline-based ENT questions improves when the underlying evidence-based S3 guideline is provided as a PDF together with the respective question.Methods: Thirty guideline-based questions were derived from five current S3 guidelines. ChatGPT answered each question in two runs: once without and once with provision of the respective guideline as a PDF together with the question. Three ENT specialists independently and anonymously evaluated the responses regarding content accuracy and length/conciseness (scale 1-3).Results: Providing the guideline as a PDF together with the respective question resulted in a significant improvement in accuracy (1.77 vs. 1.26; p = 0.003) and conciseness (1.96 vs. 1.50; p = 0.004). A significant correlation between accuracy and conciseness was observed (p < 0.001). Interrater reliability was fair to moderate.Conclusion: The targeted provision of evidence-based guidelines as a PDF together with the respective guideline-based ENT question significantly improves response quality in ChatGPT. These findings highlight that the integration of medically sound primary sources is crucial for the accuracy and reliability of LLMs. LLMs therefore appear to be a potentially supportive tool in clinical and scientific assistance but do not replace medical expertise. In particular, potential \"hallucinations\" require continued critical medical and scientific oversight.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912754","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

Eingriffe an den Speicheldrüsen. 唾液腺的功能。

IF 1.6 4区医学

Laryngo-rhino-otologie Pub Date : 2026-09-01 Epub Date: 2026-09-03 DOI: 10.1055/a-2872-9448

O Guntinas-Lichius

引用次数: 0