HnoPub Date : 2025-03-01Epub Date: 2024-07-25DOI: 10.1007/s00106-024-01500-4
Kim Hinkelmann, Matthias Rose
{"title":"[Stress and depression-a neurobiological perspective].","authors":"Kim Hinkelmann, Matthias Rose","doi":"10.1007/s00106-024-01500-4","DOIUrl":"10.1007/s00106-024-01500-4","url":null,"abstract":"<p><p>Depression is a common and often very debilitating disease causing a high number of years lost to disability worldwide. Mortality rates are high due to suicide and depression-associated somatic disorders, which seem to have a bidirectional connection. Depression is considered to be stress associated. Adverse life events such as losses, interpersonal conflicts, financial issues, unemployment, and loneliness are often found in the patient history. Also childhood maltreatment is a known risk factor. Chronic stress can cause maladaptive changes in different neurobiological systems and may contribute to the development of depression. Relevant changes have been described in the stress-response and immune systems of persons with depression and those with childhood trauma or abuse. Psychotherapy and antidepressants are both effective, and current treatment guidelines recommend their combination in severe depressive episodes.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"175-181"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762769","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 : 2025-03-01Epub Date: 2024-05-10DOI: 10.1007/s00106-024-01484-1
Helmut Schaaf
{"title":"[Psychosomatic medicine for patients with Meniere's disease].","authors":"Helmut Schaaf","doi":"10.1007/s00106-024-01484-1","DOIUrl":"10.1007/s00106-024-01484-1","url":null,"abstract":"<p><strong>Background: </strong>Unpredictable attacks of vertigo with or without emesis, unilateral hearing loss, and tinnitus characterize the inner ear disorder that is classified as part of Meniere's disease (MD). While the pathological final stage with cochleovestibular hydrops seems to be certain as a component of MD, there are many uncertainties with respect to the multifactorial pathogenesis. It is certain that the disease can have effects in addition to the attack, which questions the treatment of things that were previously taken for granted. Persistent perceptual and postural dizziness [19] and reactive psychogenic dizziness [18] can occur, so that during the course of the disease, a mixed picture of organic and psychogenic dizziness can develop. In addition, there is an increased anxiety and depression comorbidity. The course, suffering, and experience of the disease depend essentially on the processing and the active acquisition of coping strategies as well as-also the medical-treatment of the patient(s), who in their distress seek and need a knowledgeable and reliable practitioner at their side.</p><p><strong>Objective: </strong>The effects on the affected persons and suggestions for the most helpful treatment of Meniere's disease sufferers shall be described here in detail.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"167-174"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904549","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 : 2025-03-01Epub Date: 2024-11-06DOI: 10.1007/s00106-024-01529-5
Helmut Schaaf, Georg Kastellis, Gerhard Hesse
{"title":"[Unmet medical needs in otorhinolaryngology].","authors":"Helmut Schaaf, Georg Kastellis, Gerhard Hesse","doi":"10.1007/s00106-024-01529-5","DOIUrl":"10.1007/s00106-024-01529-5","url":null,"abstract":"<p><p>Unfulfilled medical wishes and the resulting disappointments often have infrastructural causes and are the result of inadequate services or limited available resources in a medical practice. As annoying as these might be, they can hardly be influenced by the individual therapeutic competence of the ENT physician. The situation is different in the case of unfulfilled medical wishes of patients who cannot be adequately helped for a variety of reasons, whether because of the severity of their illness or because of the particular, predominantly psychosomatic constellations. This can lead to disappointment and unfulfilled expectations on both sides. This article focuses on diseases for which there are no clear organic findings and therefore no clear treatment options, such as surgery or medication, or in which the organic findings are tangible but do not sufficiently explain the underlying condition. In such cases, the treatment measures initiated are not sufficient and do not satisfy the patient. The patient feels misunderstood, which puts additional strain on the relationship between physician and patient. A basic psychosomatic understanding of underlying and subjectively dominant organic complaints-by physicians and patients-is helpful here. In this way, the symptom can also be understood and recognized as a possible expression of psychogenic distress in order to pave way to the necessary initiation of causal therapy. The article is intended to reflect on this and make suggestions for dealing with the topic, using the example of tinnitus suffering in particular.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"189-195"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584653","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 : 2025-03-01Epub Date: 2025-02-19DOI: 10.1007/s00106-025-01553-z
Birgit Mazurek, Matthias Rose
{"title":"[Psychosomatic Medicine in ENT-German version].","authors":"Birgit Mazurek, Matthias Rose","doi":"10.1007/s00106-025-01553-z","DOIUrl":"https://doi.org/10.1007/s00106-025-01553-z","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":"73 3","pages":"163-166"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460767","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 : 2025-03-01Epub Date: 2024-08-02DOI: 10.1007/s00106-024-01501-3
Laurence McKenna, Florian Vogt
{"title":"Stressful life events and tinnitus : Reflections and speculations.","authors":"Laurence McKenna, Florian Vogt","doi":"10.1007/s00106-024-01501-3","DOIUrl":"10.1007/s00106-024-01501-3","url":null,"abstract":"<p><p>The role of life events has not been extensively studied in the context of tinnitus. There is, however, evidence about the psychological impact of tinnitus and about the influence of psychological processes as mediators of the tinnitus experience. On the basis of this evidence, the possibility that stressful life events can act as a trigger for tinnitus is discussed; although the evidence is fragmentary and indirect, the possibility cannot be discounted. It is argued that the onset of tinnitus and the associated clinical encounters can constitute an acute stressful life event, and the ongoing experience of tinnitus can be regarded as a chronic stressful life event. Interactions between ongoing tinnitus and other life events are discussed. Possible mechanisms in terms of stress influencing predictive processing and signal detection judgments are considered.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"182-188"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876756","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 : 2025-03-01Epub Date: 2024-11-04DOI: 10.1007/s00106-024-01517-9
Achim M Franzen, Annekatrin Coordes
{"title":"[Chronic crusting of the ear canal with hearing loss].","authors":"Achim M Franzen, Annekatrin Coordes","doi":"10.1007/s00106-024-01517-9","DOIUrl":"10.1007/s00106-024-01517-9","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"207-210"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577011","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 : 2025-03-01Epub Date: 2024-11-25DOI: 10.1007/s00106-024-01530-y
Petra Brüggemann, Benjamin Böcking, Kurt Steinmetzger, Eva Winter, Felix Fischer, Matthias Rose, Birgit Mazurek
{"title":"[Patient-reported outcome measures-use in diagnosing depression, anxiety, and stress].","authors":"Petra Brüggemann, Benjamin Böcking, Kurt Steinmetzger, Eva Winter, Felix Fischer, Matthias Rose, Birgit Mazurek","doi":"10.1007/s00106-024-01530-y","DOIUrl":"10.1007/s00106-024-01530-y","url":null,"abstract":"<p><p>Patient-reported outcome measures (PROMs) is an umbrella term for various self-report instruments used to assess subjective health-related impressions and treatment success from the patient's perspective. In psychosomatic medicine, PROMs are often used to record subjective symptoms, psychosocial distress, and changes in health status, particularly in patients with comorbid (affective) disorders and frequent contact with physicians, but also in preventive health care and to monitor the effectiveness of treatment. In otolaryngology (ENT), self-report questionnaires (PROMs) are used, among other things, to assess the impact of hearing, speech, swallowing, and breathing disorders on patients' quality of life. Such scientifically validated tools make it possible to better understand the needs and priorities of patients and to integrate them into clinician-patient communication and treatment to promote individual, patient-centered care. Three dimensions for the assessment of subjective health-related experiences (depression, anxiety, stress) with corresponding instruments for the German-speaking area for use in clinical and research settings are presented in more detail, specifically for otolaryngology.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"196-202"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711555","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 : 2025-03-01Epub Date: 2025-02-03DOI: 10.1007/s00106-025-01551-1
Mathias Santschi, Maria Kyriakou, Simona Negoias
{"title":"[Paresthesia after climbing-a rare case of a clival mucocele].","authors":"Mathias Santschi, Maria Kyriakou, Simona Negoias","doi":"10.1007/s00106-025-01551-1","DOIUrl":"10.1007/s00106-025-01551-1","url":null,"abstract":"<p><p>We describe an extremely rare case of a clival mucocele and complement the case report with a literature review. A 30-year-old woman presented to the emergency department with unclear neurologic symptoms after bouldering and left-sided hyposensitivity in her face and radial surface of the forearm. Magnetic resonance imaging was suspicious of a clival mucocele, which was confirmed in computed tomography. Endoscopic drainage of the mucocele was undertaken, after which the patient recovered fully.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"203-206"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124180","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 : 2025-03-01Epub Date: 2025-01-22DOI: 10.1007/s00106-025-01550-2
Kim-Victoria Seibert
{"title":"[Visitors in the operating room-just let them watch?!]","authors":"Kim-Victoria Seibert","doi":"10.1007/s00106-025-01550-2","DOIUrl":"10.1007/s00106-025-01550-2","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"211-212"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016685","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 : 2025-02-25DOI: 10.1007/s00106-025-01561-z
Theresa Lüdke, Marcus Neudert
{"title":"[Medical examination: Preparation for ENT specialisation : Part 67].","authors":"Theresa Lüdke, Marcus Neudert","doi":"10.1007/s00106-025-01561-z","DOIUrl":"https://doi.org/10.1007/s00106-025-01561-z","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506110","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}