Laryngo-rhino-otologiePub Date : 2026-09-01Epub Date: 2026-07-10DOI: 10.1055/a-2888-1808
Dominik Lanzerstorfer, Paul Martin Zwittag, Veronika Moser, Nina Rubicz
{"title":"[Strange tingling sensation in the face].","authors":"Dominik Lanzerstorfer, Paul Martin Zwittag, Veronika Moser, Nina Rubicz","doi":"10.1055/a-2888-1808","DOIUrl":"10.1055/a-2888-1808","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"580-583"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148422247","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 : 2026-09-01Epub Date: 2026-09-03DOI: 10.1055/a-2606-7872
Silke Tribius, Markus Hoffmann
{"title":"[HPV-associated oropharyngeal carcinomas in the 9th edition of the TNM classification - Clinical classification and consequences].","authors":"Silke Tribius, Markus Hoffmann","doi":"10.1055/a-2606-7872","DOIUrl":"10.1055/a-2606-7872","url":null,"abstract":"<p><p>The 9<sup>th</sup> edition of the TNM classification represents a refinement of the staging system for oropharyngeal carcinoma. Based on the distinction between HPV-associated and HPV-negative tumors introduced with the TNM-8 classification system, TNM-9 aims to capture the prognostically relevant heterogeneity within the HPV-associated subgroup more precisely. In particular, greater emphasis is placed on nodal disease characteristics, including extranodal extension, to improve prognostic discrimination.</p><p><p>This CME article reviews the key factors of the TNM-9 classification for HPV-associated oropharyngeal carcinomas and critically discusses their clinical implication. In addition to formal aspects of staging, diagnostic work-up, the role of imaging, the significance of p16 immunohistochemistry as a surrogate marker, and the impact of smoking and comorbidity are addressed. Cervical carcinoma of unknown primary and nasopharyngeal carcinoma are highlighted as paradigmatic models of biologically integrated staging.</p><p><p>The aim of this article is to clarify the prognostic role of TNM-9 while outlining its limitations. Appropriate application requires standardized diagnostic procedures and interdisciplinary interpretation; therapeutic decisions should not be derived from TNM stage alone.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 9","pages":"587-599"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887929","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 : 2026-09-01Epub Date: 2026-09-03DOI: 10.1055/a-2341-0341
Joachim Müller, Carmen Molenda, Daniel Polterauer-Neuling
{"title":"[Trends and Developments in Cochlear Implantation 2026].","authors":"Joachim Müller, Carmen Molenda, Daniel Polterauer-Neuling","doi":"10.1055/a-2341-0341","DOIUrl":"https://doi.org/10.1055/a-2341-0341","url":null,"abstract":"<p><strong>Abstract: </strong>Cochlear implantation is the gold standard of hearing rehabilitation for patients with severe to profound sensorineural hearing loss. Cochlear Implants (CI) are nowadays essential for these patients. Adapted to rapid developments and the resulting expansion of indications, the implantation principles have consequently been subtly refined and further developed. This overview summarizes developments that are receiving more attention and increasing application in everyday clinical practice.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 9","pages":"551-560"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887981","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 : 2026-09-01Epub Date: 2026-06-30DOI: 10.1055/a-2881-6040
Uwe Baumann, Timo Stöver
{"title":"Guideline-Based Cochlear Implant Care: A Model for Structuring Delegated Technical Aftercare.","authors":"Uwe Baumann, Timo Stöver","doi":"10.1055/a-2881-6040","DOIUrl":"10.1055/a-2881-6040","url":null,"abstract":"<p><strong>Abstract: </strong>Cochlear implant (CI) care in Germany is largely standardized through the national CI clinical practice guideline, the CI White Paper, and established certification procedures. Lifelong aftercare is essential for maintaining long-term treatment outcomes. In particular, technical aftercare may, in accordance with current guidelines, be delegated by a cochlear implant providing department (CIVE) to qualified external cooperation partners (QEK). To preserve the CIVE's overall responsibility, a clearly structured framework for collaboration is required. The aim of this manuscript is to present a practical model for the guideline-compliant delegation of technical aftercare services.A structured cooperation model was developed based on practical experience from existing collaborations and with consideration of the CI clinical practice guideline, the CI White Paper, and applicable regulatory requirements. The model was derived from cooperation agreements currently implemented at the authors' institution with various QEKs. It includes delegable and non-delegable services, qualification requirements, communication and documentation processes, escalation criteria, and quality assurance measures.The structured delegation of technical aftercare to qualified external partners represents a practical and guideline-compliant model for quality-assured CI aftercare. Prerequisites are clearly defined delegation limits, binding quality standards, and continuous supervision by the CIVE. Furthermore, the integrated communication and documentation framework may serve as a basis for future cross-sector and telemedical care structures.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"561-566"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361083","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}