Laryngo-rhino-otologie最新文献_第3页

[Diagnosis and Treatment of recurrent acute Tonsillitis]. 复发性急性扁桃体炎的诊断与治疗

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2244-6640

Orlando Guntinas-Lichius, Katharina Geißler

{"title":"[Diagnosis and Treatment of recurrent acute Tonsillitis].","authors":"Orlando Guntinas-Lichius, Katharina Geißler","doi":"10.1055/a-2244-6640","DOIUrl":"10.1055/a-2244-6640","url":null,"abstract":"When surgery on the palatine tonsils is indicated in children and adults with recurrent acute tonsillitis (RAT) is still the subject of debate. The aim of this article on specialist knowledge is to provide an overview of evidence-based decision-making for optimal diagnosis and treatment of RAT based on current studies and the new S3 guideline on tonsillitis. The diagnosis of a new episode of acute tonsillitis / sore throat should always include a classification with a scoring system (Centor, McIssac, FeverPain score) to assess the likelihood of bacterial tonsillitis, mainly due to group A streptococci (GAS). In unclear cases, a point-of-care test (POCT) for a GAS smear is helpful. Accurate counting of episodes is important in patients with RAT, as the cumulative frequency is the most important marker for or against tonsil surgery to date. In addition, a specific quality of life questionnaire should be used for each episode. Conservative symptomatic treatment of an episode includes a combination of paracetamol and/or non-steroidal anti-inflammatory drugs. If there is a high probability of bacterial tonsillitis, especially in high-risk patients, antibiotic treatment is initiated directly or by delayed prescription. Tonsillectomy is indicated and highly effective if the patient had ≥7 adequately treated episodes of RAT in the previous year or ≥5 such episodes in each of the previous two years or ≥3 such episodes in each of the previous three years. Whether a tonsillotomy is equivalent to a tonsillectomy in these cases will only be answered once the TOTO study has been completed. Standardized pain management is an essential part of the operation, as most patients are likely to experience severe postoperative pain. Nowadays, evidence-based treatment of patients with RAT is readily available.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"104 4","pages":"256-266"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764166","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 Hals, Ösophagus und Mediastinum. 颈部、食道和胸腔的手术。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2499-0099

J A Werner, J P Windfuhr

引用次数: 0

Kommentar zu „Im Test: Audiometrie mit dem Smartphone“. “在测试中：智能手机的音频测量”。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2475-1131

引用次数: 0

Kommentar zu „Tympanoplastik Typ I: Operationstechniken im Vergleich“. “I型鼓室成形术：比较手术技术”。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2369-4738

引用次数: 0

Liebe Leserinnen, liebe Leser der LRO, liebe Kolleginnen und Kollegen. 亲爱的读者，LRO的读者，同事们。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2499-0266

Stefan Dazert

引用次数: 0

Vorschuss aufgebraucht? – Das müssen Sachverständige beachten. 预付款用完了?-专家必须注意这一点。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2499-0043

Kim-Victoria Seibert

引用次数: 0

[Lower lip reconstruction after partial amputation using hyperspectral imaging for perfusion control]. [应用高光谱成像技术控制局部截肢后的下唇重建]。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2561-2159

Hugo Rimbach, Stavroula Andrianopoulou, Burkard Lippert, Greta Zweigart, Lukas S Fiedler

引用次数: 0

[Evaluation of the postoperative electrode position and electrode insertion depth after cochlear implantation]. [人工耳蜗植入术后电极位置及电极插入深度的评价]。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2493-9829

Ioana Tereza Brill, Stefan Dazert

引用次数: 0

Fall Hyperakusis. 听觉过敏。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 DOI: 10.1055/a-2499-0057

Gerlind Schneider

引用次数: 0

[The multicenter registry "oropharyngeal cancer" of the German ENT Study Center - First Results]. [德国耳鼻喉科研究中心 "口咽癌 "多中心登记 - 初步结果]。

IF 0.9 4区医学

Laryngo-rhino-otologie Pub Date : 2025-04-01 Epub Date: 2024-08-21 DOI: 10.1055/a-2374-2310

{"title":"[The multicenter registry \"oropharyngeal cancer\" of the German ENT Study Center - First Results].","authors":"","doi":"10.1055/a-2374-2310","DOIUrl":"10.1055/a-2374-2310","url":null,"abstract":"The number of oropharyngeal squamous cell carcinomas (OPSCC) caused by human papillomavirus (HPV) has increased significantly in recent years. However, no robust data exist on the incidence of HPV-associated OPSCC as well as their treatment in central Europe.The aim is to establish an epidemiological register of patients with OPSCC in central Europe.To close the evidence gap on p16-positive OPSCC, a prospective multicenter registry on incidence, risk factors and treatment of OPSCC in certified Head and Neck Tumor Centers according to the German Cancer Society was established. Data collection was pseudonymously performed using the web-based Research Electronic Data Capture (REDCap).In 2022 and 2023, 1312 patients with OPSCC from 34 centers were included. 720 patients (58.2 %) were p16-positive. The most common locations of p16-positive primary tumors were the tonsil (49.9 %) and the base of the tongue (28.7 %). 63.1 % of p16-positive OPSCC received primary surgical treatment, whereas only 48.0 % of p16-negative tumors received primary surgery. Differences are also evident in the adjuvant therapy: 58 % of p16-negative OPSCC did not receive adjuvant therapy after surgery, compared with 37.1 % of p16-positive OPSCC.The start of the OPSCC registry study was technically smooth. This registry provides an insight into the current care situation of OPSCC in German-speaking countries and will gain importance through the participation of more centers.","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"242-249"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017946","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