Hno最新文献

{"title":"[Objective methods of hearing assessment as a contribution to a scientifically sound expert opinion].","authors":"Thomas Steffens","doi":"10.1007/s00106-025-01676-3","DOIUrl":"https://doi.org/10.1007/s00106-025-01676-3","url":null,"abstract":"<p><p>Objective hearing test procedures are of great importance in the expert opinion, as their results cannot be manipulated by the person being examined and they increase the correctness, accuracy, diagnostic depth, and forensic quality of an expert opinion. According to the systematic of the ascending processes of hearing, they are divided into tympanometry to examine sound conduction and peripheral neuronal processing in the acoustic reflex; otoacoustic emissions (OAE) to assess the outer hair cells in the inner ear; and the broad field of acoustic evoked potentials (AEPs), which can be used to examine various aspects of neuronal excitation processing from the spiral ganglion to the auditory center. Of all objective methods, AEPs are the most versatile because they can be used to estimate hearing thresholds in air and bone conduction, detect aspects of maturation and deprivation, and assess functional aspects of retrocochlear hearing disorders that can only be examined and detected in this way. Sufficient audiometric knowledge and strict quality assurance are absolute prerequisites for the use of all objective procedures.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330876","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":"[A rare cause of hoarseness-a case study and compact overview of laryngeal amyloidosis].","authors":"Hannah Schützenmeister, Rahel Schwotzer, Jakob Becker, Nathalie Nierobisch, Daniel Runggaldier, Jörg E Bohlender","doi":"10.1007/s00106-025-01681-6","DOIUrl":"https://doi.org/10.1007/s00106-025-01681-6","url":null,"abstract":"<p><p>This case report describes a patient with localized laryngeal immunoglobulin light chain (AL) amyloidosis. The larynx is one of the most common sites of manifestation of localized amyloidosis. Amyloidosis leads to benign, tumor-like lesions caused by the deposition of insoluble protein aggregates, so-called fibrils. The current patient presented with the main symptom of hoarseness. Amyloidosis is most commonly treated by surgical resection of the mass. However, depending on the extent and course of disease, other therapeutic approaches are also feasible, which are discussed in this review.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310057","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":"[Expert certification in head and neck surgical oncology : On behalf of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery, and the German Academy of Oto-Rhino-Laryngology].","authors":"Thomas K Hoffmann, Jens-Peter Klußmann, Christian S Betz, Timo Stöver, Thomas Deitmer","doi":"10.1007/s00106-025-01674-5","DOIUrl":"https://doi.org/10.1007/s00106-025-01674-5","url":null,"abstract":"<p><p>The field of otorhinolaryngology and head and neck surgery comprises both conservative and surgical domains. Specialist training is often followed by in-depth surgical specialization, in the past reflected by, among other things, continued education in \"specialized surgical otorhinolaryngology.\" This qualification was discontinued, however, by the German Medical Association's reform of the continuing medical education (CME) regulations ([Muster-]Weiterbildungsordnung, MWBO, 2003). Although it is still possible to obtain additional certification in \"plastic and esthetic surgery,\" another advanced surgical qualification in, for example, oncology, otology, or rhinology, is currently not possible within the scope of the WBO of the medical associations. It would not appear possible to implement additional (Sect. C of the WBO) or specialist (Sect. B) CME qualifications in the near future, despite the fact that surgical specialization-in light of the necessity of sustainable quality assurance (e.g., certified cancer centers, cochlear implantation facilities, skull base centers) or the fundamental changes to the healthcare landscape (hospital reform)-seems more important than ever. On the initiative of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), and the German Academy of Oto-Rhino-Laryngology (DAHNO), a concept to enable expert certification is to be developed in collaboration with specialist working groups. This initiative initially addresses \"head and neck surgical oncology\" as well as perspectives for \"oto- and lateral skull base surgery\" and \"rhino- and anterior skull base surgery.\" Relevant content is stored in a logbook. The goal is to present the applicants' expertise in \"head and neck surgical oncology\" analogously to international standards. The certificate can be used as evidence of individual oncosurgical skills, e.g., for other certification procedures. The practical implementation is carried out by an independent certification body (ClarCert GmbH) on behalf of the DGHNO-KHC in collaboration with the DAHNO and the Oncology Working Group. Applications for the expert certificate \"head and neck surgical oncology\" are now open for members of the DGHNO-KHC and the DAHNO.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294352","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":"[Benign parotid tumors : Surgery and management of perioperative complications].","authors":"Mika R Gehrking, Konstantinos Mantsopoulos, Michael Koch, Sarina K Müller, Matti Sievert","doi":"10.1007/s00106-025-01677-2","DOIUrl":"https://doi.org/10.1007/s00106-025-01677-2","url":null,"abstract":"<p><p>Tumors of the parotid gland are rare and predominantly benign. The surgical management is challenging due to the close anatomical relationship to the facial nerve. Pleomorphic adenoma and cystadenolymphoma are among the most frequently occurring lesions. The surgical approach depends on the location, size and suspected diagnosis of the lesion. While radical surgical techniques were favored in the past, current practice emphasizes reducing surgical morbidity through less invasive resection methods. In this context, extracapsular dissection offers functional advantages over more extensive resections, with similarly low recurrence rates. Complications such as facial nerve palsy, salivary fistulas and Frey's syndrome occur less frequently with milder severity and are generally well-treatable, for example, with botulinum toxin. In selected cases, such as confirmed bilateral cystadenolymphoma, a conservative wait-and-scan approach may be considered as an alternative to surgery. The goal remains the complete resection of the lesion with maximum preservation of function.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294379","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":"[Bone conduction and active middle ear implants: systematics and audiological indication criteria].","authors":"Stefan K Plontke, Torsten Rahne","doi":"10.1007/s00106-025-01644-x","DOIUrl":"10.1007/s00106-025-01644-x","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"709-713"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585709","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":"[Management of tracheal foreign bodies].","authors":"Lea Stecher, Verena Strasser, Teresa Bernadette Steinbichler","doi":"10.1007/s00106-025-01658-5","DOIUrl":"10.1007/s00106-025-01658-5","url":null,"abstract":"<p><p>Foreign body aspiration in children represents an acute pediatric emergency, requiring immediate interdisciplinary evaluation and intervention. Infants and toddlers under the age of four are particularly at risk due to immature coordination of the swallowing mechanism and a tendency toward oral exploration. Clinical symptoms vary depending on the location of the foreign body and can range from mild coughing to severe respiratory distress. Anamnesis is often unreliable, making diagnosis and therapeutic decision-making more difficult. Bronchoscopy remains the gold standard for both diagnosis and treatment, even in cases with inconspicuous imaging findings. The urgency of endoscopic removal must be assessed on a case-by-case basis, depending on the patient's clinical condition, the type of foreign body, and potential risks such as airway obstruction or ingestion of batteries or magnets.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"735-744"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979321","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":"[Simulation of possible effects of the Hospital Care Improvement Act on inpatient care in ENT medicine].","authors":"Stephan Lang, Thomas K Hoffmann, Thomas Deitmer, Martin Jäckel, Steffen Rohwer, Stefan Mattheis, Timo Stöver, Nicole Rotter, Thomas Zahnert, Jens Peukert","doi":"10.1007/s00106-025-01642-z","DOIUrl":"10.1007/s00106-025-01642-z","url":null,"abstract":"<p><p>A fundamental hospital reform is urgently needed due to the existing shortage of specialists, postpandemic productivity changes, and increasing financial deficits faced by hospitals in Germany. Starting from a hospital reform initiated in North-Rhine Westphalia (NRW), the so-called Hospital Care Improvement Act (\"Krankenhausversorgungsverbesserungsgesetz\", KHVVG) was launched at the federal level with the aim of ensuring more adequate funding, safeguarding and improving treatment quality, and reducing bureaucracy. This was passed by the Federal Council and officially came into force on 1 January 2025. For the specialty of Otorhinolaryngology, two categories-general ENT and cochlear implants-were selected for future hospital planning. The new law also established minimum physician requirements (e.g., 3 full-time physicians including 24/7 on-call duty) and defines so-called \"oncological capping\" as well as minimum number of cases for each defined entity. These measures are expected to lead to significant changes in the hospital landscape, including centralization of highly specialized services, with potential implications for specialist training. In summary, the KHVVG will ultimately alter patient care, thus, requiring flexible adaptation processes, which will be supported by professional societies. For this reason, we have simulated and discussed the effects of the KHVVG on our field to better assess possible consequences and initiate adjustment processes at an early stage.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"714-723"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dual graft fusion for external auditory canal reconstruction.","authors":"Aynur Aliyeva, Shi Nae Park","doi":"10.1007/s00106-025-01659-4","DOIUrl":"10.1007/s00106-025-01659-4","url":null,"abstract":"<p><strong>Background: </strong>External auditory canal (EAC) atresia is a congenital anomaly leading to hearing impairment. Various techniques have been used for its surgical correction, but no gold standard exists.</p><p><strong>Method: </strong>This paper describes a fascia-skin composite grafting technique utilizing temporal muscle fascia and postauricular skin for EAC reconstruction.</p><p><strong>Conclusion: </strong>Temporal fascia-skin composite grafting offers a reliable and effective option for EAC reconstruction with favorable results and minimal complications.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"724-727"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818353","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":"[ISO standards in the scientifically informed assessment].","authors":"Martin Liedtke","doi":"10.1007/s00106-025-01651-y","DOIUrl":"10.1007/s00106-025-01651-y","url":null,"abstract":"<p><strong>Background: </strong>For the correlation report the expert needs support for the recommended comparison of the course of the effective noise dose (ELD) determined by the statutory accident insurance institution (UVT) with the findings.</p><p><strong>Objective: </strong>How can the noise-induced permanent threshold shift (NIPTS) course of the UVT be used qualitatively and quantitatively for the discussion of the causal relationship?</p><p><strong>Material and methods: </strong>Use of predictions of expected noise effects in the tone audiogram according to ISO (International Organization for Standardization) 1999 and ISO 7029.</p><p><strong>Results: </strong>Possibilities of qualitative and quantitative use of ISO 1999 and ISO 7029 for the interpretation of tone-audiometric findings in the present individual cases for the discussion of the causal relationship.</p><p><strong>Conclusion: </strong>Noise effects can be well observed in the group under 40 years old as the age-related effect is still low in this group. The rapidly increasing age-related effect in the group over 40 years old can easily mask the noise effects in the tone audiogram, especially in the case of previous noise exposure.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"674-681"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884318","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":"[Structured reporting in otorhinolaryngology].","authors":"Benjamin Philipp Ernst","doi":"10.1007/s00106-025-01605-4","DOIUrl":"10.1007/s00106-025-01605-4","url":null,"abstract":"<p><p>Structured reporting (SR) is a valuable method for optimizing diagnosis and treatment in various specialist disciplines. While conventional free-text findings are often inconsistent and difficult to compare, structured documentation enables higher quality and completeness of findings. This helps to better manage the increasing complexity and raise therapeutic standards. Studies show that SR leads to a significant improvement in the quality of findings in various areas of otorhinolaryngology. SR also increases time efficiency and inter-rater reliability and contributes to the learning effect. Furthermore, SR increases user and referring physician satisfaction, especially in interdisciplinary application. Future multicenter studies are needed to provide further insights into the practical application and scientific evaluability of SR, also in combination with artificial intelligence.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"699-708"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}