Laryngo-rhino-otologie最新文献

{"title":"Kommentar zu „Rhinosinusitis: Assoziationen mit rheumatischen Erkrankungen nachgewiesen“.","authors":"","doi":"10.1055/a-2820-5769","DOIUrl":"https://doi.org/10.1055/a-2820-5769","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"477-478"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669975","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":"Eingriffe an den Speicheldrüsen.","authors":"O Guntinas-Lichius","doi":"10.1055/a-2860-4010","DOIUrl":"https://doi.org/10.1055/a-2860-4010","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"535-536"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669879","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":"Rhinosinusitis: Assoziationen mit rheumatischen Erkrankungen nachgewiesen.","authors":"","doi":"10.1055/a-2820-5853","DOIUrl":"https://doi.org/10.1055/a-2820-5853","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"476-477"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669962","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":"[Interdisciplinary Management of Acute and Chronic Mastoiditis].","authors":"Susen Lailach, Marcus Neudert, Thomas Zahnert","doi":"10.1055/a-2623-3015","DOIUrl":"https://doi.org/10.1055/a-2623-3015","url":null,"abstract":"<p><strong>Abstract: </strong>Acute mastoiditis represents the most common complication of acute otitis media in childhood and, despite a declining incidence in the era of vaccine prevention, remains a clinically significant entity. Particularly in infants and immunocompromised patients, symptoms may be nonspecific, thereby complicating early diagnosis. The present review provides a structured overview of the etiology, pathophysiology, diagnostic workup, and therapeutic management of acute and chronic mastoiditis, with special emphasis on interdisciplinary aspects.The pathogen spectrum is age-dependent and subject to epidemiological shifts driven by vaccination programs and external factors such as the COVID-19 pandemic. In acute cases, <i>Streptococcus pneumoniae</i>, <i>Haemophilus influenzae</i>, and <i>Streptococcus pyogenes</i> predominate, whereas chronic mastoiditis frequently exhibits a polymicrobial flora including <i>Pseudomonas aeruginosa</i> and anaerobic pathogens. Diagnosis remains primarily clinical and is supported by imaging modalities (CT, MRI).Treatment is stage-dependent and may be conservative (high-dose intravenous antibiotic therapy, with or without ventilation tube placement) or surgical (mastoidectomy). Interdisciplinary management involving otolaryngology, pediatrics, (pediatric) radiology, neuropediatrics, and infectious diseases is of crucial importance-particularly in complicated courses such as abscess formation, labyrinthitis, facial nerve palsy, Gradenigo's syndrome, or intracranial complications.Special consideration is given to high-risk populations, including infants, immunocompromised patients, and children with cochlear implants, in whom atypical clinical courses and biofilm formation necessitate tailored management strategies. Follow-up care includes structured audiological assessment, vaccination counseling, and parental education aimed at preventing recurrence. A coherent, stage-oriented interdisciplinary treatment algorithm combined with close clinical re-evaluation by the surgical team enables effective management while reducing the rate of operative interventions-consistent with current international standards.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"516-532"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669854","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":"Sehr geehrte Leserinnen und Leser der LRO, liebe Kolleginnen und Kollegen.","authors":"","doi":"10.1055/a-2860-4176","DOIUrl":"https://doi.org/10.1055/a-2860-4176","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"469"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669925","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":"[IgG4-associated extended mastoiditis].","authors":"Laura Bühning, Markus Pirlich, Andreas Dietz, Matthias Pierer, Maximilian von Laffert, Gunnar Wichmann","doi":"10.1055/a-2786-1538","DOIUrl":"10.1055/a-2786-1538","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"510-513"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113555","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":"[Optical Biopsy in Head and Neck Surgery - State of the Art and Future Directions].","authors":"Miguel Goncalves, Flurin Müller-Diesing, Stephan Hackenberg","doi":"10.1055/a-2804-7108","DOIUrl":"10.1055/a-2804-7108","url":null,"abstract":"<p><strong>Abstract: </strong>Optical biopsy denotes light-based in vivo techniques that infer tissue identity in real time from image or spectral data. In a review of the literature covering the past five years, we analyze the modalities used in head and neck surgery by principle, clinical application, evidence, and technology readiness. Optical biopsy technologies include confocal laser endomicroscopy, optical coherence tomography, hyperspectral imaging, near-infrared autofluorescence (NIRAF), Raman spectroscopy, photoacoustic imaging and fluorescence lifetime imaging; these support biopsy guidance, margin mapping, and preservation of critical structures. In addition, molecular NIR tracers provide high tumor-to-background contrast and laser-induced breakdown spectroscopy identifies osseous invasion. Morphological contrast techniques (contact endoscopy; narrow-band imaging/ SPIES) sharpen the detection of superficial lesions and microvascular patterns-thus enabling optical diagnosis-yet, in the strict sense, do not constitute optical biopsy. The evidence base is promising but heterogeneous; consistent patient-level benefits remain limited to date. At present, NIRAF for parathyroid identification and morphological contrast techniques as adjuncts to white-light endoscopy are suitable for routine use. All other modalities should be implemented within structured programs with standardized endpoint ascertainment (e.g., R0 resection rate, reoperations, quality of life). In the short to medium term, multimodal fusion, AI-assisted analysis with open datasets and external validation and integration into navigation and robotic workflows are likely to increase clinical impact and generalizability.</p>","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":" ","pages":"482-496"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317483","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":"Fall Teratom.","authors":"","doi":"10.1055/a-2860-4130","DOIUrl":"https://doi.org/10.1055/a-2860-4130","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"533"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669826","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":"Fall Zenker-Divertikel.","authors":"Gerlind Schneider","doi":"10.1055/a-2860-3968","DOIUrl":"https://doi.org/10.1055/a-2860-3968","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"534"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669852","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":"Keine Erstattung – kein Honorar?!","authors":"Kim-Victoria Seibert","doi":"10.1055/a-2860-3954","DOIUrl":"https://doi.org/10.1055/a-2860-3954","url":null,"abstract":"","PeriodicalId":17965,"journal":{"name":"Laryngo-rhino-otologie","volume":"105 8","pages":"514-515"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669886","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}