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The floating mass transducer as a microphone-a pilot study. 作为麦克风的浮动质量传感器——一个试点研究。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-03 DOI: 10.1007/s00106-025-01597-1
Stefan Kaulitz, Carolina Köstler, Kristen Rak, Rudolf Hagen, Stephan Hackenberg, Mario Cebulla
{"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}
引用次数: 0
Correlation between stimulation levels and ECAP thresholds for audiometry-based fitting in cochlear implants. 人工耳蜗听力学拟合中刺激水平与ECAP阈值的相关性。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-02 DOI: 10.1007/s00106-025-01585-5
Annett Franke-Trieger, Thomas Hocke, Thomas Zahnert, Susen Lailach
{"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<sub>SPL</sub>, WRS<sub>65</sub>(HA), is inadequate but whose maximum monosyllabic word recognition score (WRS<sub>max</sub>) is still measurable may benefit from a cochlear implant (CI). Using a validated prediction model, one can estimate word recognition with a CI, WRS<sub>65</sub>(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 WRS<sub>65</sub>(CI) was determined after 6 and 12 months and compared with the predicted WRS<sub>65</sub>(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 WRS<sub>65</sub>(CI) after 12 months compared with the preoperatively determined WRS<sub>65</sub>(HA). The proportion of patients whose WRS<sub>65</sub>(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<sub>max</sub> 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}
引用次数: 0
Lernen am Fall. 勒南·弗尔。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 DOI: 10.1007/s00106-025-01623-2
{"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}
引用次数: 0
[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]. 【个性化与标准化:2025年在法兰克福举行的第96届德国耳鼻喉头颈外科学会年会——一个充满机会的紧张领域】。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-04-22 DOI: 10.1007/s00106-025-01622-3
Timo Stöver
{"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}
引用次数: 0
[What is happiness? And what does ENT medicine have to do with it?] 幸福是什么?耳鼻喉科医学和它有什么关系?]
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s00106-025-01604-5
Christian Dobel, Daniel Richter, Orlando Guntinas-Lichius
{"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}
引用次数: 0
[Chronic tinnitus from a psychological perspective]. 【从心理学角度看慢性耳鸣】。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-04-10 DOI: 10.1007/s00106-025-01586-4
Benjamin Boecking, Birgit Mazurek
{"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}
引用次数: 0
[Prehabilitation and enhanced recovery after surgery protocols for head and neck cancer : Value and application of these concepts]. [头颈癌术前康复和术后增强康复方案:这些概念的价值和应用]。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-05-08 DOI: 10.1007/s00106-025-01637-w
Markus Blaurock, Chia-Jung Busch, Mats Lukas Wiese
{"title":"[Prehabilitation and enhanced recovery after surgery protocols for head and neck cancer : Value and application of these concepts].","authors":"Markus Blaurock, Chia-Jung Busch, Mats Lukas Wiese","doi":"10.1007/s00106-025-01637-w","DOIUrl":"10.1007/s00106-025-01637-w","url":null,"abstract":"<p><p>Prehabilitation is gaining traction in complex oncological interventions and treatments. This CME article is focused on the basic principles of prehabilitation. We discuss the objective evaluation of physical fitness and how to improve it by physio- and speech therapy. Thereafter, we explain how to judge nutritional status, especially in oncological patients, and discuss modes of nutritional supplementation. Finally, the enhanced recovery after surgery concept is briefly explained and its current value in head and neck cancer patients discussed.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"430-440"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058443","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
[Psychological stress and psychiatric comorbidities in the treatment of dysphagia in patients with head and neck cancer]. [头颈癌患者吞咽困难治疗中的心理应激和精神合并症]。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-05-19 DOI: 10.1007/s00106-025-01634-z
Stephan Dürr, Philipp Stangl, Sarah Vester, Julian Künzel, Christopher Bohr, Peter Kummer
{"title":"[Psychological stress and psychiatric comorbidities in the treatment of dysphagia in patients with head and neck cancer].","authors":"Stephan Dürr, Philipp Stangl, Sarah Vester, Julian Künzel, Christopher Bohr, Peter Kummer","doi":"10.1007/s00106-025-01634-z","DOIUrl":"10.1007/s00106-025-01634-z","url":null,"abstract":"<p><strong>Background: </strong>Dysphagia, along with dysphonia and dyspnea, is undoubtedly one of the major problems in the treatment of head and neck tumors. However, impairment of the ability to swallow has many different aspects.</p><p><strong>Objective: </strong>This article aims to shed light on the interactions and interdependencies between dysphagia and psychological stress and psychiatric comorbidities. This should provide the basis for improved treatment coordination.</p><p><strong>Materials and methods: </strong>A literature search was carried out in the PubMed database using the search terms \"dysphagia AND hnc/hnscc AND psychiatric,\" \"dysphagia AND hnc/hnscc AND psychologic,\" and \"dysphagia AND hnc/hnscc AND stress.\" In addition, the authors were able to draw on their many years of experience with the treatment of patients with dysphagia on the background of head and neck tumors.</p><p><strong>Results: </strong>Psychological stress and psychiatric comorbidities play a significant role in the treatment of dysphagia in patients with head and neck tumors, which makes an early examination and, if necessary, psycho-oncological intervention useful.</p><p><strong>Conclusion: </strong>In our view, multidisciplinary patient care is recommended, e.g., as part of an oncology ward round with medical staff from the fields of otorhinolaryngology or oral and maxillofacial surgery, phoniatrics, and pediatric audiology as well as professionals from the fields of nursing, speech therapy, nutritional counseling, psycho-oncology, and social services.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"382-386"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095998","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
[A clinical screening tool for potential somatosensory tinnitus designed for otorhinolaryngologists : The SOMASENSO check for manual identification of relevant dysfunctions]. [为耳鼻喉科医生设计的潜在体感耳鸣的临床筛查工具:SOMASENSO检查相关功能障碍的手动识别]。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-03-27 DOI: 10.1007/s00106-025-01603-6
Anett Reißhauer, Isabelle Hoffmann, Birgit Mazurek, Norman Best, Max E Liebl
{"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}
引用次数: 0
[Medical examination: preparation for ENT specialisation : Part 77]. [体格检查:耳鼻喉专科的准备:第77部分]。
IF 0.8 4区 医学
Hno Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1007/s00106-025-01601-8
Petra Brüggemann, Kurt Steinmetzger, Benjamin Böcking, Amarjargal Nyamaa, Birgit Mazurek
{"title":"[Medical examination: preparation for ENT specialisation : Part 77].","authors":"Petra Brüggemann, Kurt Steinmetzger, Benjamin Böcking, Amarjargal Nyamaa, Birgit Mazurek","doi":"10.1007/s00106-025-01601-8","DOIUrl":"10.1007/s00106-025-01601-8","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"423-429"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781913","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
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