Laryngo-rhino-otologiePub Date : 2026-09-01Epub Date: 2026-06-25DOI: 10.1055/a-2883-5095
Ioana Brill, Stefan Dazert
{"title":"Audiometric evaluation and quality-of-life in OSIA users - a retrospective monocentric study.","authors":"Ioana Brill, Stefan Dazert","doi":"10.1055/a-2883-5095","DOIUrl":"10.1055/a-2883-5095","url":null,"abstract":"<p><strong>Objective: </strong>The piezoelectric OSIA is a well-established active transcutaneous bone anchored hearing system. The study retrospectively evaluates hearing results and subjective benefits in patients provided with the OSIA system at our clinic, and separately also looks at patients with moderate to severe mixed hearing loss.</p><p><strong>Materials and methods: </strong>21 patients between 9 and 83 years of age were planned for OSIA implantation between 2022 and 2024. They underwent preoperative (k<sub>0</sub>) and at 3 months (k<sub>1</sub>) and at 6 months (k<sub>2</sub>) with OSIA audiometric testing as well as answered quality of life questionnaires.</p><p><strong>Results: </strong>The k<sub>0</sub> PTA4 air-conduction threshold was 68.2 dB (± 16.7). The PTA4-free field pure tone audiogram with the OSIA system at k<sub>1</sub> was 32.0 dB (± 14.1). The gain is a substantial 36.2 dB. Freiburg monosyllables speech understandig at 65 dB in quiet with the OSIA at k<sub>1</sub> was 16.4% better than the k<sub>0</sub> performance with the BAHA 6 Max. Postoperative monosyllables performance at 65 dB was statistically better with OSIA versus without. There was a significant negative correlation between pre- versus postoperative APHAB and NCIQ answers (corr.-coeff. -0.87). Postoperative tinnitus results correlated with APHAB and NCIQ answers (corr.-coeff. 0.72 and -0.81 respectively).</p><p><strong>Conclusion: </strong>Overall, we observed a significant improvement in hearing thresholds, speech understanding performance and in subjective quality of life in patients with OSIA. Also in the subgroup with moderate to severe mixed hearing loss we observed a steady improvement of speech understanding over time and a good subjective quality of life and satisfaction with the system.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"567-579"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148330595","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-2872-9392
Gerhard Rettinger, Stefan Volkenstein
{"title":"Orbitaverletzung bei Nebenhöhlenoperation mit Shaver.","authors":"Gerhard Rettinger, Stefan Volkenstein","doi":"10.1055/a-2872-9392","DOIUrl":"https://doi.org/10.1055/a-2872-9392","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 9","pages":"584-586"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887481","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-2828-9009
{"title":"Kommentar zu „Automatisierung der klinischen Dokumentation mittels KI untersucht“.","authors":"","doi":"10.1055/a-2828-9009","DOIUrl":"https://doi.org/10.1055/a-2828-9009","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 9","pages":"545-546"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886946","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-2828-9053
{"title":"Automatisierung der klinischen Dokumentation mittels KI untersucht.","authors":"","doi":"10.1055/a-2828-9053","DOIUrl":"https://doi.org/10.1055/a-2828-9053","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 9","pages":"544-545"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887931","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}
Shabnam Shahpasand, Olga Gohr, Larissa Hörner, Katrin Neumann, Sabine Hochmuth, Rasmus Sönnichsen, Andreas Radeloff
{"title":"[Asymmetric low-frequency hearing loss as possible cause of pressure sensation in Menière's disease].","authors":"Shabnam Shahpasand, Olga Gohr, Larissa Hörner, Katrin Neumann, Sabine Hochmuth, Rasmus Sönnichsen, Andreas Radeloff","doi":"10.1055/a-2920-4914","DOIUrl":"https://doi.org/10.1055/a-2920-4914","url":null,"abstract":"<p><strong>Objective: </strong>The unilateral, low-frequency hearing loss typical of Menière's disease (MD) is often accompanied by a sensation of pressure in the ear. The pathophysiological mechanism remains unclear. The aim of this exploratory study was to investigate whether unilateral low-frequency hearing loss leads to the onset of a sensation of pressure and thus constitutes a possible mechanism for this symptom.</p><p><strong>Material and methods: </strong>To simulate Menière's disease-typical hearing loss, 20 normal hearing subjects were presented binaurally with sentences of the Oldenburg Sentence Test (OLSA) with unilateral simulated low-frequency hearing loss (20, 40, 75, 100 dB HL). In two sections, a qualitative recording of unpleasant sensations was followed by randomized pair comparisons between normal hearing-, hearing loss-, and negative control-stimuli with documentation of pressure sensation and localization.</p><p><strong>Results: </strong>In the qualitative analysis, a sensation of pressure (71%), followed by a feeling of aural fullness (24%), was the most common perception. In the quantitative part, a sensation of pressure occurred in 75% of participants (negative control: 10%). The proportion increased significantly (p < 0.0001) from the negative control level up to 40 dB and then plateaued. In 93% of cases, the sensation of pressure was correctly attributed to the hearing loss stimulus, though it was mostly perceived contralaterally (64%).</p><p><strong>Conclusion: </strong>The results indicate an association between acute asymmetric lowfrequency hearing loss and a sensation of pressure. Low-frequency hearing loss appears to be the cause of the sensation of aural pressure in MD rather than endolymphatic hydrops itself.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758759","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 : 2026-08-01Epub Date: 2026-08-03DOI: 10.1055/a-2877-0695
Martin Sylvester Otte, Antonia Roberta Nolte, Frederik Faste, Hans Nikolaus Caspar Eckel, Verena Mueller, Jens Peter Klußmann, Kevin Karl Hansen
{"title":"[Optimized glottic exposure using angled endoscopes and holding systems].","authors":"Martin Sylvester Otte, Antonia Roberta Nolte, Frederik Faste, Hans Nikolaus Caspar Eckel, Verena Mueller, Jens Peter Klußmann, Kevin Karl Hansen","doi":"10.1055/a-2877-0695","DOIUrl":"https://doi.org/10.1055/a-2877-0695","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"480-481"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669837","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 : 2026-08-01Epub Date: 2026-03-17DOI: 10.1055/a-2803-8009
Maxi Schulz, Jan Löhler, Orlando Guntinas-Lichius, Tim Mathes
{"title":"[Automation of evidence synthesis exemplified by a review on harm endpoints in ear canal cleaning].","authors":"Maxi Schulz, Jan Löhler, Orlando Guntinas-Lichius, Tim Mathes","doi":"10.1055/a-2803-8009","DOIUrl":"10.1055/a-2803-8009","url":null,"abstract":"<p><strong>Objective: </strong>Automation approaches have the potential to significantly reduce the effort required for systematic literature reviews. These approaches include the use of AI-based automation software. This article presents a rapid review approach using AI-based automation tools for evidence synthesis of harm endpoints, using the example of the risks and complications associated with ear canal cleaning for cerumen removal.</p><p><strong>Material and methods: </strong>Based on comparative studies of rapid review methods, the standard steps of a systematic review were adapted and the most suitable supporting AI and software tools for implementation were selected, taking into account the current scientific evidence.</p><p><strong>Results: </strong>A total of 1,521 titles and abstracts and 52 full texts were screened for eligibility. Three reviewers were involved in different stages of the process over a period of six weeks. A web-based platform supported the screening of titles and abstracts, while a large language model web service was used for data extraction.</p><p><strong>Conclusions: </strong>While systematic reviews require an average of five reviewers and over a year to complete, the combination of rapid review approaches and AI/automation tools for the steps of literature research, study selection, data extraction, data synthesis and visualisation significantly reduced the time and personnel required.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"497-501"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473412","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":"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":"502-509"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","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 : 2026-08-01Epub Date: 2026-08-03DOI: 10.1055/a-2813-8310
{"title":"Kommentar zu „Chronische Rhinosinusitis mit Nasenpolypen: Therapieziel Schlafqualität”.","authors":"","doi":"10.1055/a-2813-8310","DOIUrl":"https://doi.org/10.1055/a-2813-8310","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"475-476"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670022","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}