HnoPub Date : 2025-06-01Epub Date: 2025-04-28DOI: 10.1007/s00106-025-01604-5
Christian Dobel, Daniel Richter, Orlando Guntinas-Lichius
{"title":"[What is happiness? And what does ENT medicine have to do with it?]","authors":"Christian Dobel, Daniel Richter, Orlando Guntinas-Lichius","doi":"10.1007/s00106-025-01604-5","DOIUrl":"10.1007/s00106-025-01604-5","url":null,"abstract":"<p><p>Happiness is important to most people in our society, although it is given little importance in political and social objectives. However, happiness is an important topic in various philosophical schools and in Western philosophy, happiness goes back to Aristotelianism and Stoic philosophy. Recent longitudinal studies clearly suggest that happiness depends on interpersonal relationships. So what does otorhinolaryngology have to do with this? In our view, various basic skills that enable people to achieve social fitness, i.e., to establish short- and long-term relationships, are at the center of ENT medicine. Examples of this are hearing, olfaction, the voice, but also facial movements. The multisensory processing of various perception and expression channels creates a \"social brain network\" as a neuronal correlate of social skills and fitness. Consequently, otorhinolaryngology should play a central role in understanding these abilities in the context of happiness.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"387-394"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058798","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}
HnoPub Date : 2025-06-01Epub Date: 2025-03-27DOI: 10.1007/s00106-025-01603-6
Anett Reißhauer, Isabelle Hoffmann, Birgit Mazurek, Norman Best, Max E Liebl
{"title":"[A clinical screening tool for potential somatosensory tinnitus designed for otorhinolaryngologists : The SOMASENSO check for manual identification of relevant dysfunctions].","authors":"Anett Reißhauer, Isabelle Hoffmann, Birgit Mazurek, Norman Best, Max E Liebl","doi":"10.1007/s00106-025-01603-6","DOIUrl":"10.1007/s00106-025-01603-6","url":null,"abstract":"<p><strong>Background: </strong>Somatosensory tinnitus is associated with functional disorders of the cervical spine and/or temporomandibular joint region. Manual medicine can be helpful here. However, the diagnostic criteria for somatosensory tinnitus can only partly be derived from the specific anamnesis; in some cases, clinical manual examination techniques are also necessary. The aim of this work was to design a pragmatic screening instrument for somatosensory tinnitus that can be carried out in the ENT practice with a seated patient.</p><p><strong>Materials and methods: </strong>In a modified Delphi procedure, a group of manual medicine specialists and otorhinolaryngologists identified suitable manual medicine procedures and evaluated them for their feasibility in the ENT practice.</p><p><strong>Results: </strong>The SOMASENSO check is a pragmatic examination tool that makes it easier for otorhinolaryngologists to identify potential somatosensory tinnitus patients.</p><p><strong>Conclusion: </strong>The technical difficulty and lack of test-retest reliability of many manual segmental function tests has led to a focus on the detection of movement disorders, pain, and tinnitus modulation.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"395-400"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722430","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}
HnoPub Date : 2025-06-01Epub Date: 2025-04-10DOI: 10.1007/s00106-025-01586-4
Benjamin Boecking, Birgit Mazurek
{"title":"[Chronic tinnitus from a psychological perspective].","authors":"Benjamin Boecking, Birgit Mazurek","doi":"10.1007/s00106-025-01586-4","DOIUrl":"10.1007/s00106-025-01586-4","url":null,"abstract":"<p><p>Chronic tinnitus is a common and often highly distressing phenomenon that, in its chronic phase, is primarily maintained by psychological factors. Individuals affected by tinnitus frequently attribute fluctuations in their emotional well-being causally to the tinnitus symptom. However, from a psychotherapeutic perspective, both the perception of symptoms and the resulting emotional distress are shaped by complex, dynamic interactions involving (a) personal life experiences, (b) personality traits, (c) the subjective interpretation of intrapsychic and interpersonal stimuli, (d) emotional states, and (e) coping strategies at both intrapsychic and interpersonal levels. This review begins with a brief introduction and then connects a well-established psychological theory of chronic tinnitus development and maintenance with a broader vulnerability-stress-coping model. Within this framework, we present key research findings from both somatic and psychological perspectives, ultimately offering insights for psychotherapeutic prevention and treatment approaches.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"367-381"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006515","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}
HnoPub Date : 2025-06-01Epub Date: 2025-05-08DOI: 10.1007/s00106-025-01637-w
Markus Blaurock, Chia-Jung Busch, Mats Lukas Wiese
{"title":"[Prehabilitation and enhanced recovery after surgery protocols for head and neck cancer : Value and application of these concepts].","authors":"Markus Blaurock, Chia-Jung Busch, Mats Lukas Wiese","doi":"10.1007/s00106-025-01637-w","DOIUrl":"10.1007/s00106-025-01637-w","url":null,"abstract":"<p><p>Prehabilitation is gaining traction in complex oncological interventions and treatments. This CME article is focused on the basic principles of prehabilitation. We discuss the objective evaluation of physical fitness and how to improve it by physio- and speech therapy. Thereafter, we explain how to judge nutritional status, especially in oncological patients, and discuss modes of nutritional supplementation. Finally, the enhanced recovery after surgery concept is briefly explained and its current value in head and neck cancer patients discussed.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"430-440"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058443","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}
HnoPub Date : 2025-06-01Epub Date: 2025-05-19DOI: 10.1007/s00106-025-01634-z
Stephan Dürr, Philipp Stangl, Sarah Vester, Julian Künzel, Christopher Bohr, Peter Kummer
{"title":"[Psychological stress and psychiatric comorbidities in the treatment of dysphagia in patients with head and neck cancer].","authors":"Stephan Dürr, Philipp Stangl, Sarah Vester, Julian Künzel, Christopher Bohr, Peter Kummer","doi":"10.1007/s00106-025-01634-z","DOIUrl":"10.1007/s00106-025-01634-z","url":null,"abstract":"<p><strong>Background: </strong>Dysphagia, along with dysphonia and dyspnea, is undoubtedly one of the major problems in the treatment of head and neck tumors. However, impairment of the ability to swallow has many different aspects.</p><p><strong>Objective: </strong>This article aims to shed light on the interactions and interdependencies between dysphagia and psychological stress and psychiatric comorbidities. This should provide the basis for improved treatment coordination.</p><p><strong>Materials and methods: </strong>A literature search was carried out in the PubMed database using the search terms \"dysphagia AND hnc/hnscc AND psychiatric,\" \"dysphagia AND hnc/hnscc AND psychologic,\" and \"dysphagia AND hnc/hnscc AND stress.\" In addition, the authors were able to draw on their many years of experience with the treatment of patients with dysphagia on the background of head and neck tumors.</p><p><strong>Results: </strong>Psychological stress and psychiatric comorbidities play a significant role in the treatment of dysphagia in patients with head and neck tumors, which makes an early examination and, if necessary, psycho-oncological intervention useful.</p><p><strong>Conclusion: </strong>In our view, multidisciplinary patient care is recommended, e.g., as part of an oncology ward round with medical staff from the fields of otorhinolaryngology or oral and maxillofacial surgery, phoniatrics, and pediatric audiology as well as professionals from the fields of nursing, speech therapy, nutritional counseling, psycho-oncology, and social services.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"382-386"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095998","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}
HnoPub Date : 2025-06-01Epub Date: 2025-04-04DOI: 10.1007/s00106-025-01601-8
Petra Brüggemann, Kurt Steinmetzger, Benjamin Böcking, Amarjargal Nyamaa, Birgit Mazurek
{"title":"[Medical examination: preparation for ENT specialisation : Part 77].","authors":"Petra Brüggemann, Kurt Steinmetzger, Benjamin Böcking, Amarjargal Nyamaa, Birgit Mazurek","doi":"10.1007/s00106-025-01601-8","DOIUrl":"10.1007/s00106-025-01601-8","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"423-429"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781913","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}
HnoPub Date : 2025-06-01Epub Date: 2025-04-09DOI: 10.1007/s00106-025-01620-5
Thomas Verse, Ansgar Michael Chromik
{"title":"[Diagnosis and surgical therapy of thyroid diseases].","authors":"Thomas Verse, Ansgar Michael Chromik","doi":"10.1007/s00106-025-01620-5","DOIUrl":"10.1007/s00106-025-01620-5","url":null,"abstract":"<p><p>There is a growing interest in diseases of the thyroid gland within the ENT community. This review provides an introduction to the topic. The first section describes the surgical anatomy and physiology of the thyroid gland. Subsequently, the most frequent benign and malignant diseases of the thyroid gland are discussed. Regarding treatment of thyroid diseases, the focus is placed on surgical therapy with all its perioperative issues as well as surgical complications and their management.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"401-422"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000220","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}
HnoPub Date : 2025-05-28DOI: 10.1007/s00106-025-01642-z
Stephan Lang, Thomas K Hoffmann, Thomas Deitmer, Martin Jäckel, Steffen Rohwer, Stefan Mattheis, Timo Stöver, Nicole Rotter, Thomas Zahnert, Jens Peukert
{"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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HnoPub Date : 2025-05-23DOI: 10.1007/s00106-025-01628-x
Alexander Müller, M Blümer, O C Dziemba, A Elsholz, L Fröhlich, U Hoppe, D Polterauer, T Rahne, T Steffens, M Walger, T Weißgerber, T Wesarg, S Zirn, T Rader
{"title":"[Recommendations for selection of target parameters and process recommendations for audiological and technical functional testing of cochlear implant : Prepared by the ERA consortium (AG-ERA) of ADANO in cooperation with the Implantable Hearing Systems expert committee of the DGA. Confirmed by the board of ADANO on 31.01.2025. German version].","authors":"Alexander Müller, M Blümer, O C Dziemba, A Elsholz, L Fröhlich, U Hoppe, D Polterauer, T Rahne, T Steffens, M Walger, T Weißgerber, T Wesarg, S Zirn, T Rader","doi":"10.1007/s00106-025-01628-x","DOIUrl":"https://doi.org/10.1007/s00106-025-01628-x","url":null,"abstract":"<p><p>Continuous monitoring of the technical and physiological function of cochlear implants (CI) is a central part of the care process. Despite worldwide efforts to standardise procedures, there is still considerable variation between CI centres, particularly in terms of the methods used, their practical implementation and the definition of meaningful target parameters. A standardised structured test procedure is needed for reliable quality assurance and better comparability. Against this background, the ADANO Working Group for Evoked Response Audiometry (AG-ERA), in close cooperation with the Cochlear Implants and Implantable Hearing Systems Committee of the German Society of Audiology (DGA), developed a minimum standard for audiological and technical functional testing of CIs in an open consensus process. This standard defines basic requirements for performance and documentation and serves as a practical recommendation for CI centres. It is intended to improve interdisciplinary cooperation, increase the quality of care and enable structured long-term optimised care for CI patients.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129544","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}