IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1007/s00106-024-01511-1

Franz-Tassilo Müller-Graff, Jan von Düring, Johannes Voelker, Fadi Al-Tinawi, Rudolf Hagen, Tilmann Neun, Stephan Hackenberg, Kristen Rak

{"title":"[Improved radiological imaging of congenital aural atresia using flat-panel volume CT. German version].","authors":"Franz-Tassilo Müller-Graff, Jan von Düring, Johannes Voelker, Fadi Al-Tinawi, Rudolf Hagen, Tilmann Neun, Stephan Hackenberg, Kristen Rak","doi":"10.1007/s00106-024-01511-1","DOIUrl":"10.1007/s00106-024-01511-1","url":null,"abstract":"Background: Precise preoperative radiological evaluation of aural atresia is of utmost importance for surgical planning. Until now, multislice computed tomography (MSCT) has been used but it cannot adequately visualize small structures such as the stapes. Flat-panel volume CT (fpVCT) with its secondary reconstructions (fpVCTSECO) offers a high-resolution visualization of the middle ear. New otosurgical planning software also enables detailed 3D reconstruction of the middle ear anatomy.Aim of the work: Evaluation of the use of fpVCTSECO in combination with an otosurgical planning software for a more accurate diagnosis and treatment of congenital aural atresia.Material and methods: Seven patients with congenital aural atresia underwent preoperative MSCT (600 µm slice thickness) and corresponding fpVCT (466 µm slice thickness). In addition, fpVCTSECO (99 µm slice thickness) were reconstructed. The Jahrsdoerfer and Siegert grading scores were determined and their applicability in the abovementioned imaging modalities was evaluated. In addition, the malleus incus complex was analyzed in 3D rendering.Results: Imaging with fpVCTSECO enabled reliable visualization of the abnormalities, in particular the ossicular chain. A significant difference in the Siegert grading score was found. In addition, the malleus-incus complex could be visualized better in 3D.Discussion: The introduction of new imaging techniques and surgical planning techniques into the diagnostic concept of aural atresia facilitates the identification of malformed anatomy and enables systematic analysis. This combination can also help to more accurately classify the pathology and thus increase the safety and success of the surgical procedure.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"815-824"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301382","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}

引用次数: 0

[Pediatric otorhinolaryngology]. [小儿耳鼻喉科]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-10-23 DOI: 10.1007/s00106-024-01513-z

Stephan Hackenberg

引用次数: 0

[Management of pediatric vascular malformations]. [小儿血管畸形的管理]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-04-02 DOI: 10.1007/s00106-024-01447-6

Veronika Vielsmeier

引用次数: 0

[Rehabilitation with cochlear implants in children with malformations of the inner ear]. [内耳畸形儿童的人工耳蜗康复]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1007/s00106-024-01507-x

Katrin Radeloff, Pascale Sandmann, Claudia Klüner, Andreas Radeloff

引用次数: 0

[Particulars of sinogenic orbital complications in children]. [儿童窦源性眼眶并发症的细节]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-02-13 DOI: 10.1007/s00106-024-01421-2

Anja Pähler Vor der Holte, Oliver Bertram, Hans-Jürgen Welkoborsky

{"title":"[Particulars of sinogenic orbital complications in children].","authors":"Anja Pähler Vor der Holte, Oliver Bertram, Hans-Jürgen Welkoborsky","doi":"10.1007/s00106-024-01421-2","DOIUrl":"10.1007/s00106-024-01421-2","url":null,"abstract":"Background: Sinogenic orbital complications in children are relatively rare but critical conditions that require accurate diagnosis and timely appropriate treatment to prevent severe sequelae.Objective: This article concentrates on clinical, diagnostic, and therapeutic specifics of sinogenic orbital complications in children.Materials and methods: The work is based on a literature review (PubMed, Google Scholar) and own experience as well as data from the authors' own pediatric population.Results: In children, sinogenic orbital complications are usually secondary due to acute bacterial sinusitis. Correct distinction between pre- and postseptal cellulitis is of utmost importance for correct diagnostic and therapeutic management in order to prevent long-term sequelae. Preseptal cellulitis can be treated conservatively. If there are signs of postseptal involvement, prompt cross sectional imaging will be required. Depending on the severity of the postseptal involvement, surgical treatment may be necessary.Conclusion: Recent literature debates three main issues: 1) developing models for different combinations of symptoms that reliably distinguish between pre- and postseptal cellulitis; 2) selection of appropriate cross-sectional imaging (MRI vs. CT); and 3) indications for surgery. All three issues will be discussed in detail in this article.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"772-779"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725074","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}

引用次数: 0

[Chronic rhinosinusitis in people with cystic fibrosis-an up-to-date review from the perspective of otorhinolaryngology]. [囊性纤维化患者的慢性鼻炎--从耳鼻喉科角度的最新回顾]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-02-16 DOI: 10.1007/s00106-024-01428-9

M Yılmaz Topçuoğlu, O Sommerburg, M O Wielpütz, L Wucherpfennig, S Hackenberg, J G Mainz, I Baumann

{"title":"[Chronic rhinosinusitis in people with cystic fibrosis-an up-to-date review from the perspective of otorhinolaryngology].","authors":"M Yılmaz Topçuoğlu, O Sommerburg, M O Wielpütz, L Wucherpfennig, S Hackenberg, J G Mainz, I Baumann","doi":"10.1007/s00106-024-01428-9","DOIUrl":"10.1007/s00106-024-01428-9","url":null,"abstract":"Background: Cystic fibrosis (CF) is a complex systemic disease involving numerous organ systems. With improved treatment options and increasing life expectancy of persons with CF (PwCF), extrapulmonary manifestations are coming increasingly into the focus. From birth, almost all PwCF have radiologically detectable pathologies in the upper airways attributable to CF-associated chronic rhinosinusitis (CF-CRS).Objective: The aim of this work is to provide an up-to-date overview of CF-CRS from the otorhinolaryngology perspective and to provide the reader with background knowledge and current developments.Pathophysiology: The cystic fibrosis transmembrane conductance regulator (CFTR) gene defect leads to increased viscosity of sinonasal secretions and reduced mucociliary clearance, causing chronic infection and inflammation in the upper airway segment and, consequently, to CF-CRS.Clinical picture and diagnostics: The clinical picture of CF-CRS comprises a wide spectrum from asymptomatic to symptomatic courses. CF-CRS is diagnosed clinically and radiologically.Therapy: Sinonasal saline irrigation is recommended as a conservative treatment measure. Topical corticosteroids are also commonly used. Surgical therapy is reserved for highly symptomatic treatment-refractory patients without a sufficient response to conservative treatment including CFTR modulator (CFTRm) therapies. Depending on the CFTR mutation, CFTRm therapies are the treatment of choice. They not only improve the pulmonary and gastrointestinal manifestations in PwCF, but also have positive effects on CF-CRS.Conclusion: The ENT specialist is part of the interdisciplinary team caring for PwCF. Depending on symptom burden and treatment responsiveness, CF-CRS should be treated conservatively and/or surgically. Modern CFTRm have a positive effect on the clinical course of CF-CRS.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"788-799"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742722","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}

引用次数: 0

[Increasing incidence of mastoidectomies in children : Result of reduced antibiotic therapy or late COVID-19 sequela?] [儿童乳突切除术的发病率不断上升：是抗生素治疗减少的结果，还是 COVID-19 的晚期后遗症？］

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-03-01 DOI: 10.1007/s00106-024-01435-w

Thomas Gehrke, Agmal Scherzad

{"title":"[Increasing incidence of mastoidectomies in children : Result of reduced antibiotic therapy or late COVID-19 sequela?]","authors":"Thomas Gehrke, Agmal Scherzad","doi":"10.1007/s00106-024-01435-w","DOIUrl":"10.1007/s00106-024-01435-w","url":null,"abstract":"Background: An increasing number of pediatric patients with mastoiditis and a consequent increase in mastoidectomy rates was noted in 2022 and 2023.Objective: This study aimed to analyze the increase in the number of children presenting with mastoiditis and subsequent mastoidectomy, to assess correlations with prior antibiotic treatment or COVID-19 infection, and to provide an overview of involved pathogens, treatment, and disease course.Materials and methods: A retrospective analysis of all patients with mastoidectomy since 2012 was conducted. Data collected comprised type and duration symptoms, prior antibiotic therapy, diagnostic tests and disease course, causal pathogens, length of hospitalization, and complications.Results: A highly significant increase in mastoidectomies in children could be demonstrated from 2022. Neither the pathogens involved nor the course of disease or complications showed differences. An increase in the number of patients with prior outpatient antibiotic therapy could be shown. About a half of the patients becoming ill after fall 2022 had a positive history of COVID. Hyperplasia of adenoid tissue was a far less frequent causal mechanism than in the years before COVID.Conclusion: No clear correlation with reduced outpatient antibiotic therapy could be found. Whether there exists an association with prior COVID infection cannot be judged at this time, due to the high number of asymptomatic and therefore unknown COVID infections.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"809-814"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013674","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}

引用次数: 0

[Sudden-onset double vision-a complication requiring interdisciplinary treatment]. [突发性复视--一种需要跨学科治疗的并发症]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-03-18 DOI: 10.1007/s00106-024-01450-x

C Schmit, A Runge, A Jöbstl, G Widmann, J Schmutzhard, B Hofauer

引用次数: 0

[The otolaryngologist's role in evaluating diving fitness]. [耳鼻喉科医生在评估潜水能力中的作用]。

IF 0.8 4区医学

Hno Pub Date : 2024-11-01 Epub Date: 2024-07-01 DOI: 10.1007/s00106-024-01496-x

Marie-Nicole Theodoraki, Matthias Brand

引用次数: 0

[Occupational diseases related to otorhinolaryngology]. [与耳鼻喉科有关的职业病]。