Hno最新文献

{"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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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.","authors":"A 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/s00106-025-01629-w","DOIUrl":"https://doi.org/10.1007/s00106-025-01629-w","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":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227752","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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","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":"Lernen am Fall.","authors":"","doi":"10.1007/s00106-025-01623-2","DOIUrl":"https://doi.org/10.1007/s00106-025-01623-2","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":"73 Suppl 2","pages":"325-333"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200888","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":"[Individualization vs. standardization: 96th annual meeting of the German Society of Otorhinolaryngology, Head and Neck Surgery 2025 in Frankfurt-a field of tension full of opportunities].","authors":"Timo Stöver","doi":"10.1007/s00106-025-01622-3","DOIUrl":"10.1007/s00106-025-01622-3","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"131-132"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058440","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":"[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}

{"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}

{"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}