HnoPub Date : 2025-02-01Epub Date: 2025-01-13DOI: 10.1007/s00106-024-01547-3
I Gutekunst, J Zenk
{"title":"[Medical examination: preparation for ENT specialisation : Part 75].","authors":"I Gutekunst, J Zenk","doi":"10.1007/s00106-024-01547-3","DOIUrl":"10.1007/s00106-024-01547-3","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"146-151"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973332","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 : 2025-02-01Epub Date: 2025-01-27DOI: 10.1007/s00106-024-01545-5
Matthias P Schönermark, Benedikt Hofauer
{"title":"[Digitalization in otorhinolaryngology: data as the key to improved healthcare].","authors":"Matthias P Schönermark, Benedikt Hofauer","doi":"10.1007/s00106-024-01545-5","DOIUrl":"https://doi.org/10.1007/s00106-024-01545-5","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":"73 2","pages":"81-82"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054413","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 : 2025-02-01Epub Date: 2025-01-09DOI: 10.1007/s00106-024-01544-6
Andreas Büchner
{"title":"[Empowering patients through app-based cochlear implant self-adjustment].","authors":"Andreas Büchner","doi":"10.1007/s00106-024-01544-6","DOIUrl":"10.1007/s00106-024-01544-6","url":null,"abstract":"<p><p>Treatment of patients with severe hearing loss or deafness using cochlear implants (CI) is nowadays clinical routine. In the Hannover Medical School alone, more than 500 patients are treated with CI annually, meaning that the pool of patients with CI increases significantly each year. Worldwide, there are over 1 million patients with a CI system; in Germany the figure is estimated at over 60,000. With such a huge number of CI patients, centralized annual routine follow-up of all patients in the implant centers is obviously not possible in the long term. Many patients would also like to reduce travel and time expenditures without missing out on the competencies of large hospitals. Simultaneously, the financial pressure exerted by health insurance providers is increasing, resulting in the requirement to provide treatment of the same or even heightened quality more efficiently. Telemedicine in the form of app-based aftercare can help to realize these goals and will play an increasingly important role in the future.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"83-94"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959164","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 : 2025-02-01Epub Date: 2024-02-22DOI: 10.1007/s00106-024-01434-x
Eva Krafft, Stefan Kaulitz, Johannes Voelker, Jonas Engert, Björn Spahn, Rudolf Hagen, Kristen Rak
{"title":"[Initial assessment of ENT emergencies-a feasibility study].","authors":"Eva Krafft, Stefan Kaulitz, Johannes Voelker, Jonas Engert, Björn Spahn, Rudolf Hagen, Kristen Rak","doi":"10.1007/s00106-024-01434-x","DOIUrl":"10.1007/s00106-024-01434-x","url":null,"abstract":"<p><p>In Germany, an increased volume of patient cases in the emergency department has been observed for several years, many of which do not represent hospital emergencies. To improve the triage and management of patient flows, the Structured Initial Medical Assessment (Strukturierte medizinische Ersteinschätzung in Deutschland, SmED) triage system was developed. This certified medical product is intended to assess both the urgency of everyday complaints and their adequate medical care in a targeted, faster, and safer manner. It supports medical professionals in triage by suggesting courses of action, whereby the ultimate responsibility remains with the professionals themselves. For otorhinolaryngology, a content review was carried out with regard to plausibility and patient safety in the head and neck region on the basis of nine specific emergencies. The cases were simulated by nine otorhinolaryngologists and triaged on the basis of the SmED by medical staff and medical students by assigning a care level and timepoint (urgency). The majority of cases were correctly assigned. The SmED initial assessment system is a good tool for assessing urgent clinical pictures in ear, nose, and throat (ENT) medicine. The long-term goal of the initial assessment is to relieve the capacities of outpatient departments. In order to achieve this and to shorten patient waiting times, it would be necessary to refer patients quickly to otorhinolaryngology. It is therefore necessary to ensure that patients are referred to an ENT on-call service via the online tool.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"111-121"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934294","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 : 2025-01-01Epub Date: 2024-07-22DOI: 10.1007/s00106-024-01504-0
A Gey, D Ugorová, F P Iannacone, L Wagner, J Scheffler, S Kösling, S K Plontke
{"title":"[Negative pressure in the ear canal with consequences].","authors":"A Gey, D Ugorová, F P Iannacone, L Wagner, J Scheffler, S Kösling, S K Plontke","doi":"10.1007/s00106-024-01504-0","DOIUrl":"10.1007/s00106-024-01504-0","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"67-70"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735701","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 : 2025-01-01DOI: 10.1007/s00106-024-01546-4
{"title":"Dank an die Gutachter*innen 2024.","authors":"","doi":"10.1007/s00106-024-01546-4","DOIUrl":"https://doi.org/10.1007/s00106-024-01546-4","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":"73 1","pages":"1-2"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959239","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 : 2025-01-01DOI: 10.1007/s00106-024-01531-x
Maika Werminghaus, Florian Gnadlinger, Jutta G Richter, André Selmanagić, Susann Thyson, Dorothee Schatton, Thomas Klenzner
{"title":"Erratum zu: Konzept und Umsetzung eines adaptiven digitalen Hörtrainingssystems für die Cochlea-Implantatnachsorge.","authors":"Maika Werminghaus, Florian Gnadlinger, Jutta G Richter, André Selmanagić, Susann Thyson, Dorothee Schatton, Thomas Klenzner","doi":"10.1007/s00106-024-01531-x","DOIUrl":"10.1007/s00106-024-01531-x","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"44"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607361","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 : 2025-01-01Epub Date: 2024-12-16DOI: 10.1007/s00106-024-01538-4
P K Wilcke, A-S Hoffmann, M Praetorius
{"title":"[Vestibular testing-from the 1950s to today].","authors":"P K Wilcke, A-S Hoffmann, M Praetorius","doi":"10.1007/s00106-024-01538-4","DOIUrl":"10.1007/s00106-024-01538-4","url":null,"abstract":"<p><p>The current article presents and explains methods for clinical examination of the vestibular system that have been used from the 1950s to the present day. It spans 230 years of clinical vestibular research, giving the reader a better overview and filling in the gaps in the history. Whilst only limited topographic regions could be examined in the early years, it is nowadays possible to collect objective results independently of patient compliance. Not only qualitative but also quantitative testing of the three semicircular canals and the otolith organs is now possible in clinical practice.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"71-80"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830914","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 : 2025-01-01Epub Date: 2024-12-10DOI: 10.1007/s00106-024-01535-7
Markus Brunner, Stephan Haerle
{"title":"[State of the art-pharyngeal reconstruction].","authors":"Markus Brunner, Stephan Haerle","doi":"10.1007/s00106-024-01535-7","DOIUrl":"10.1007/s00106-024-01535-7","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of the pharynx after ablative cancer surgery is challenging. Restoration of function and esthetics is at the forefront. There is currently no gold standard for reconstruction. The workhorses for free flap reconstruction are the radial free forearm flap or the anterolateral thigh flap. For medium size defects the free lateral arm flap is an excellent alternative.</p><p><strong>Objective: </strong>The current article discusses the advantages and disadvantages of the different free flap options from the perspective of two experiences head and neck surgeons and describes the usual steps in pharyngeal reconstruction.</p><p><strong>Conclusion: </strong>The ideal choice of reconstruction depends on the size and volume of the defect, the availability of donor vessels, and also on the experience and preference of the surgeon.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"55-59"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803476","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 : 2025-01-01Epub Date: 2024-05-02DOI: 10.1007/s00106-024-01466-3
Julia Dlugaiczyk, Sebastian Rösch, Georgios Mantokoudis
{"title":"[Update on diagnostic procedures in third window syndromes. German version].","authors":"Julia Dlugaiczyk, Sebastian Rösch, Georgios Mantokoudis","doi":"10.1007/s00106-024-01466-3","DOIUrl":"10.1007/s00106-024-01466-3","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis of third window syndromes often poses a challenge in clinical practice.</p><p><strong>Objective: </strong>This paper provides an up-to-date overview of diagnostic procedures in third window syndromes, with special emphasis on superior canal dehiscence syndrome (SCDS), large vestibular aqueduct syndrome (LVAS), and X-chromosomal malformation of the cochlea.</p><p><strong>Materials and methods: </strong>A literature search was performed in PubMed up to December 2023. Furthermore, a selection of the authors' own cases is presented.</p><p><strong>Results: </strong>Audiovestibular tests for the diagnosis of third window syndromes are most often reported for patients with SCDS in the literature. In this context, cut-off values with different sensitivities and specificities have been defined for different outcome parameters of vestibular evoked myogenic potentials. Current developments include the application of electrocochleography, broadband tympanometry, video head impulse testing, and vibration-induced nystagmus. Genetic analyses are increasingly applied in LVAS.</p><p><strong>Conclusion: </strong>The diagnosis of third window syndromes is always based on the synthesis of patients' symptoms, clinical signs, audiovestibular test results, and imaging.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"35-44"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861718","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}