Hno最新文献

{"title":"Psychosomatics in ENT.","authors":"Birgit Mazurek, Matthias Rose","doi":"10.1007/s00106-025-01554-y","DOIUrl":"10.1007/s00106-025-01554-y","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"335-338"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652077","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":"Diagnosis and treatment of vertigo and dizziness : Interdisciplinary guidance paper for clinical practice.","authors":"Alexander Andrea Tarnutzer, Hassen Kerkeni, Suzie Diener, Roger Kalla, Claudia Candreia, Renato Piantanida, Raphaël Maire, Antje Welge-Lüssen, Joris Budweg, Andreas Zwergal, Julia Dlugaiczyk","doi":"10.1007/s00106-025-01599-z","DOIUrl":"10.1007/s00106-025-01599-z","url":null,"abstract":"<p><strong>Background: </strong>Vertigo and dizziness belong to the most common leading symptoms in clinical practice. Their differential diagnosis, however, often imposes a challenge.</p><p><strong>Objective: </strong>This work aims to provide evidence-based and practice-oriented recommendations for diagnosis and treatment of vertigo and dizziness for primary care providers.</p><p><strong>Materials and methods: </strong>The consensus statement of an interdisciplinary working group following a national survey among Swiss primary care physicians and neurotology specialists (neurologists, otorhinolaryngologists) is presented. The associated literature search in PubMed was conducted up to October 2024.</p><p><strong>Results and conclusion: </strong>Structured history taking and clinical neurotological examination form the basis for the differential diagnosis of the various acute (AVS), episodic (EVS), and chronic (CVS) vestibular syndromes (AVS: e.g., stroke or acute unilateral vestibulopathy; EVS: e.g., benign paroxysmal positional vertigo [BPPV], Menière's disease, vestibular migraine, vestibular paroxysmia; CVS: e.g., bilateral vestibulopathy, persistent postural perceptual dizziness). The present paper covers the following topics: i) \"red flags\" for a potentially dangerous cause in patients with acute vertigo/dizziness/gait and balance disorders; ii) essential clinical neurotological examination steps; iii) diagnostic and therapeutic maneuvers for posterior and lateral canal BPPV; iv) the most important therapeutic strategies for the vestibular syndromes named above; and v) the top 10 recommendations regarding history taking, diagnosis, and treatment of vertigo and dizziness in clinical practice. This review aims to serve as a clinical companion for physicians of all specialties dealing with the primary diagnosis and treatment of vertigo and dizziness.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"357-369"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318762","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":"Provision of hearing technology in children and adolescents with permanent hearing loss in Germany.","authors":"Elena Pützer, Heike van de Sand, Jasmin Filip, Ingrid Schubert, Ursula Marschall, Ingo Meyer, Karolin Schäfer","doi":"10.1007/s00106-025-01617-0","DOIUrl":"10.1007/s00106-025-01617-0","url":null,"abstract":"<p><strong>Background: </strong>To date, data on the prevalence and age at first management of permanent childhood hearing loss in Germany are lacking.</p><p><strong>Objective: </strong>This study aims to depict how often and at what age children and adolescents receive their (first) hearing technology.</p><p><strong>Materials and methods: </strong>In this study, we analyzed claims data from a large German statutory health insurance company (BARMER). A cross-sectional study determined the provision of hearing devices and cochlear implants for children and adolescents aged under 18 years with permanent hearing loss from 2010 to 2020. A longitudinal analysis of a cohort of children born in 2010 was performed to gain insights about age at first management with hearing technology during the first 10 years of life.</p><p><strong>Results: </strong>Between 2010 and 2020, approximately 2800 to 3600 children and adolescents per year were provided with hearing devices and 10 to 30 with cochlear implants. In the 2010 birth cohort, 1.22% of children received their first prescription for hearing devices before the age of 10. The proportionately highest number of first prescriptions was found between 3 and 6 years. In 2020, particularly few children gained access to hearing technology.</p><p><strong>Conclusion: </strong>The analysis of the prescribed hearing systems reveals inaccuracies in documentation but also a possible care gap in hearing loss management. For a large percentage of children and adolescents, management of hearing loss took place after the age of 1. The frequent initial provision of hearing technology at preschool age indicates that the proportion of hearing loss that is acquired, detected late, or treated late remained quite high even after the introduction of newborn hearing screening. There is an obvious need for comprehensive tracking of children who fail newborn hearing screening and for other screening and hearing tests. The data for 2020 suggest that hearing loss was diagnosed and treated later due to the COVID-19 pandemic.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"397-403"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318763","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":"Routine diagnostics prior to ear surgery-results of a survey among otorhinolaryngology departments in German-speaking countries.","authors":"Joseph Morgenstern, Marcus Neudert, Thomas Zahnert, Susen Lailach","doi":"10.1007/s00106-025-01557-9","DOIUrl":"10.1007/s00106-025-01557-9","url":null,"abstract":"<p><strong>Background: </strong>Diagnostic testing prior to ear surgery is an important part of the work of ear specialists in hospitals. To date, there is no national or international diagnostic standard. Rather, the test batteries used are dependent on hospitals' own doctrinal opinions.</p><p><strong>Objective: </strong>The aim of this study was to conduct a survey in German-speaking countries to determine the routine diagnostic methods used prior to various ear surgery procedures.</p><p><strong>Methods: </strong>An online questionnaire with 18 general questions on the hospital's equipment and availability of tests and 6 questions on specific ear operations was sent to the departmental directors.</p><p><strong>Results: </strong>Of the 180 hospitals contacted, 56 (31%) took part in the survey. For eight specific operations (rehabilitative ear surgery with and without cholesteatoma, hearing-improving surgery, stapes surgery, ear canal stenosis surgery, ear canal atresia surgery, implantation of active middle ear implants, and cochlear implant surgery), the test batteries most commonly used in German-speaking countries could be determined. It was found that the majority of clearly defined diagnostic batteries are implemented in the hospital's own diagnostic steps. In German-speaking countries, neuro-otological diagnostics are preferably carried out before treatment with hearing implants, but are of only minor importance for middle ear surgery in German-speaking hospitals.</p><p><strong>Conclusion: </strong>There is inhomogeneity regarding diagnostic pathways in ear surgery in German-speaking countries. The results of this survey provide a further basis for discussion concerning the development of a diagnostic standard, which is to be developed in corresponding guidelines and consensus papers.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"371-383"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487088","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":"Correlation between stimulation levels and ECAP thresholds for audiometry-based fitting in cochlear implants.","authors":"Annett Franke-Trieger, Thomas Hocke, Thomas Zahnert, Susen Lailach","doi":"10.1007/s00106-025-01585-5","DOIUrl":"10.1007/s00106-025-01585-5","url":null,"abstract":"<p><strong>Background: </strong>Persons whose speech recognition with hearing aids at 65 dB_SPL, WRS₆₅(HA), is inadequate but whose maximum monosyllabic word recognition score (WRS_max) is still measurable may benefit from a cochlear implant (CI). Using a validated prediction model, one can estimate word recognition with a CI, WRS₆₅(CI), for these patients. The aim of this study was to investigate the relationship between electrically evoked compound action potentials (ECAP) and stimulation parameters of the CI system.</p><p><strong>Patients and methods: </strong>In this prospective study, 37 patients were included. The WRS₆₅(CI) was determined after 6 and 12 months and compared with the predicted WRS₆₅(CI). The correlation of minimum and maximum electrical stimulation with the ECAP was investigated.</p><p><strong>Results: </strong>All patients showed a significantly better WRS₆₅(CI) after 12 months compared with the preoperatively determined WRS₆₅(HA). The proportion of patients whose WRS₆₅(CI) fell short of the predicted value by more than 20 percentage points was 19% after 6 months and 5% after 12 months. In the patient population, there was a closer correlation of the ECAP thresholds with the maximum than with the minimum electrical stimulation.</p><p><strong>Conclusion: </strong>For patients whose speech understanding with hearing aids is inadequate-even with a very high preoperative WRS_max in moderately severe hearing loss-CI fitting appears to be a promising treatment option. The predictive model enables individual treatment planning. Its application contributed to a quality of care that was higher than was found in an earlier retrospective study. The correlation found between stimulation intensity and ECAP in a cohort of patients with achieved predicted values supports the hypothesis that a fitting procedure based on ECAP and audiometry is a promising approach.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"389-396"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200887","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":"The floating mass transducer as a microphone-a pilot study.","authors":"Stefan Kaulitz, Carolina Köstler, Kristen Rak, Rudolf Hagen, Stephan Hackenberg, Mario Cebulla","doi":"10.1007/s00106-025-01597-1","DOIUrl":"10.1007/s00106-025-01597-1","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the inverse use of the Vibrant Soundbridge® Floating Mass Transducer (FMT; MED-EL, Innsbruck, Austria) as a microphone in a pilot test. Should this be applicable, it would open up interesting application possibilities, e.g., as a microphone for a fully implantable cochlear implant.</p><p><strong>Materials and methods: </strong>Experimental measurements on an ear canal-eardrum model were used to analyze the acoustic properties of the FMT when used as a microphone, including frequency response and sensitivity. The FMT from the Direct Drive Simulation Set was coupled to the artificial eardrum for this purpose.</p><p><strong>Results: </strong>The results show that the FMT has a usable signal-to-noise performance over the entire frequency range investigated, albeit with a non-linear frequency characteristic. The highest sensitivity was found between 1500 and 2000 Hz.</p><p><strong>Conclusion: </strong>The study suggests that an FMT optimized for microphone properties could be used as a microphone in the middle ear, which would open up new possibilities for the development of fully implantable hearing systems. Further investigations, in particular measurements on the petrous bone, are required to determine the suitability of the FMT as a middle ear microphone more precisely.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"384-388"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210300","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":"[Individualized implant selection for an anatomically normal cochlea : Cochlear implant surgery on the way to personalized medicine].","authors":"Rolf B Salcher, Riccardo Di Micco, Max E Timm","doi":"10.1007/s00106-025-01625-0","DOIUrl":"10.1007/s00106-025-01625-0","url":null,"abstract":"<p><strong>Background: </strong>Due to the anatomical variety of the human cochlea and the many factors that may determine the choice of the cochlear array, there is no one-size-fits-all method for determining the right implant. The cochlear size, preoperative residual hearing, anatomical variants, operative technique, and cause of deafness must be taken into consideration when making this decision.</p><p><strong>Objective: </strong>This work aims to spread awareness of precision surgery and provide an overview.</p><p><strong>Materials and techniques: </strong>Factors that contribute to individualization are explained, and future advances are outlined.</p><p><strong>Results: </strong>The optimum treatment, if possible, is electroacoustic stimulation. Cochlear coverage of approximately 80% should be the goal when using electrical stimulation alone.</p><p><strong>Conclusion: </strong>In order to maximize rehabilitation results, recent developments in cochlear implantation mark a paradigm shift away from standardized treatments and toward individualized therapy.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"815-833"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058232","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":"Factors influencing the outcome of cochlear implantation: what role is played by secondary and post-secondary education?","authors":"Christoph Broeder, Uwe Baumann","doi":"10.1007/s00106-025-01647-8","DOIUrl":"10.1007/s00106-025-01647-8","url":null,"abstract":"<p><strong>Background: </strong>Individual cognitive abilities are increasingly discussed as a potential factor influencing the outcomes of cochlear implant (CI) treatment. In this context, the present study investigated a possible correlation between the secondary and post-secondary education of a large cohort of CI recipients and their speech comprehension. Other variables with a potential influence on the treatment outcome included age at implantation, the duration of hearing loss, and the treatment mode.</p><p><strong>Methods: </strong>The study included data of n = 326 patients from the audiology database of the Frankfurt University ENT Clinic. Secondary and post-secondary education histories were collected as part of the anamnesis using a questionnaire. Speech comprehension was assessed using the Freiburg monosyllabic test (FBE) and the Oldenburg sentence test in noise (OLSA) at 6 and 12 months after implantation and correlated with various biographical and audiological factors.</p><p><strong>Results: </strong>Patients with higher educational qualifications showed better outcomes in the FBE at 6 months (ANOVA_Welch; F (2, 104) = 5.60; p = 0.05) and at 12 months (F (2, 223) = 3.07; p = 0.05; η² = 0.03) compared to those with vocational qualifications. In the speech comprehension in noise (OLSA), a significant group difference was observed 12 months postoperatively. Patients without qualifications or with other qualifications scored lower than those with vocational or higher qualifications (F (2, 74) = 4.41; p = 0.02; η² = 0.11). Other significant factors influencing speech comprehension included the age at implantation and mode of care.</p><p><strong>Conclusion: </strong>The correlation between secondary and post-secondary education and speech comprehension after CI treatment was not unequivocal. Only the choice of post-secondary education showed a significant correlation with speech comprehension. Further research is required to confirm a potential relationship.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"404-413"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034580","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":"[Unclear mass in the nasopharynx in a newborn].","authors":"Theresa Griesbeck, Christopher Bohr, Melanie Völkl, Veronika Vielsmeier","doi":"10.1007/s00106-025-01673-6","DOIUrl":"10.1007/s00106-025-01673-6","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"865-868"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115044","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":"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":"869-878"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","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}