IF 0.8 4区医学

Hno Pub Date : 2025-04-11 DOI: 10.1007/s00106-025-01625-0

Rolf B Salcher, Riccardo Di Micco, Max E Timm

引用次数: 0

[Swallowing and swallowing disorders at the focus of otorhinolaryngology : From diagnosis to individualized treatment]. 【吞咽和吞咽障碍是耳鼻喉科的重点：从诊断到个体化治疗】。

IF 0.8 4区医学

Hno Pub Date : 2025-04-09 DOI: 10.1007/s00106-025-01630-3

Cornelia Schwemmle, Niall Watt, Christoph Arens

{"title":"[Swallowing and swallowing disorders at the focus of otorhinolaryngology : From diagnosis to individualized treatment].","authors":"Cornelia Schwemmle, Niall Watt, Christoph Arens","doi":"10.1007/s00106-025-01630-3","DOIUrl":"https://doi.org/10.1007/s00106-025-01630-3","url":null,"abstract":"Dysphagia refers to painless impairment of the transport of liquid or solid food from the oral cavity to the stomach. If pain accompanies swallowing, this is termed odynophagia, and discomfort when swallowing saliva suggests a globus pharyngis. Swallowing disorders can occur during any one or all phases of bolus transport. The causes are manifold, due to the involvement of central control areas within the brain as well as the peripheral nervous system. The diagnosis consists of a detailed case history as well as screening forms and questionnaires. In Germany, the gold standard diagnostic procedure is flexible (video-)endoscopic evaluation of swallowing. Videofluoroscopy and electrophysiological examinations complement the diagnosis. Therapeutic options comprise functional strategies and rehabilitative exercises. However, the most important task of otorhinolaryngologists, in addition to the primary surgical treatment of tumors in the area of the upper swallowing tract (taking into account the preservation of swallowing structures), is the assessment of posttreatment dysphagia with the option of individualized surgical measures to improve swallowing.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027042","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

[Otorhinolaryngologic diagnostics and treatment of vertigo syndromes]. 眩晕综合征的耳鼻喉科诊断与治疗。

IF 0.8 4区医学

Hno Pub Date : 2025-04-07 DOI: 10.1007/s00106-025-01592-6

Leif Erik Walther

引用次数: 0

[Hearing aid provision and quality assurance]. [助听器提供及质量保证]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-03 DOI: 10.1007/s00106-025-01626-z

Annette Limberger

引用次数: 0

[Recurrent cholesteatoma after reconstruction of the auditory canal : Contradictory findings and differential diagnostic challenges]. [耳道重建后复发的胆脂瘤：矛盾的发现和鉴别诊断的挑战]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-01 Epub Date: 2024-12-06 DOI: 10.1007/s00106-024-01537-5

F Koller, C Schmit, B Henninger, N Fischer, B Hofauer, J Schmutzhard

引用次数: 0

[Medical examination: Preparation for ENT specialisation : Part 76]. [体格检查：耳鼻喉专科的准备：第76部分]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-01 Epub Date: 2025-03-03 DOI: 10.1007/s00106-025-01564-w

K F M Thölken, M Plath, R Thölken

引用次数: 0

[First generation CI recipients]. [第一代CI接受者]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-01 Epub Date: 2025-03-06 DOI: 10.1007/s00106-025-01549-9

Annette Leonhardt, Stefanie Fiocchetta

引用次数: 0

[Rare manifestation of a systemic disease in the ENT region]. [罕见的全身性疾病在耳鼻喉科的表现]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-01 Epub Date: 2025-02-26 DOI: 10.1007/s00106-025-01555-x

Achim M Franzen, Annekatrin Coordes

引用次数: 0

[Retropharyngeal calcific tendinitis-An underestimated cause of acute neck pain]. [咽后钙化肌腱炎-急性颈部疼痛的一个被低估的原因]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-01 DOI: 10.1007/s00106-025-01594-4

Joachim Wolf, Pascal Niggemann, Neysan Schaefer, Nadine Tollens, Michael Rittmann, Michael Martins Dos Santos, Britta Tews

{"title":"[Retropharyngeal calcific tendinitis-An underestimated cause of acute neck pain].","authors":"Joachim Wolf, Pascal Niggemann, Neysan Schaefer, Nadine Tollens, Michael Rittmann, Michael Martins Dos Santos, Britta Tews","doi":"10.1007/s00106-025-01594-4","DOIUrl":"10.1007/s00106-025-01594-4","url":null,"abstract":"Background: Retropharyngeal calcific tendinitis is an aseptic inflammation of the longus cervicis muscle. This rare acute pain disorder of the neck region is a prognostically benign condition compared to neurological or otorhinolaryngological differential diagnoses.Objective: To capture the clinical appearance, diagnostics, treatment and course of this rare disease.Material and methods: In this retrospective monocentric observational study, demographic, clinical, paraclinical as well as treatment and follow-up data of all inpatients with a diagnosis of retropharyngeal calcific tendinitis admitted to the Diako Hospital Mannheim in the years 2018 to 2021 were analyzed.Results: This study included four female and one male patient with an age between 36 years and 77 years. Severe neck pain with restriction of cervical spine rotation was the leading clinical appearance, in four out of five patients there was a painful swallowing disorder. Inflammatory markers were elevated in four patients. Characteristic MRI or CT imaging alterations of the cervical spine confirmed the diagnosis. The symptoms resolved within 4-14 days after treatment with nonsteroidal anti-inflammatory drugs (NSAID) and four patients additionally received glucocorticoids. No recurrences were observed during the follow-up period of 5-30 months.Conclusion: The good prognosis of this rare disease is reflected by the rapid remission of symptoms under NSAIDs and glucocorticoids and by the absence of recurrences during follow-up. CT or MRI imaging is required to rule out differential diagnoses, and to confirm the characteristic imaging alterations of retropharyngeal calcific tendinitis. Additionally, cerebrospinal fluid puncture and otorhinolaryngological assessment may be necessary in some cases.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"249-255"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606991","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

[Is AIT worth your while? Economic evaluation of allergen-specific immunotherapy (AIT) for otorhinolaryngologists in private practice]. 这值得你去吗？过敏原特异性免疫治疗（AIT）在私人执业耳鼻喉科医生的经济评价]。

IF 0.8 4区医学

Hno Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI: 10.1007/s00106-024-01542-8

U Reineke, C Cappello

{"title":"[Is AIT worth your while? Economic evaluation of allergen-specific immunotherapy (AIT) for otorhinolaryngologists in private practice].","authors":"U Reineke, C Cappello","doi":"10.1007/s00106-024-01542-8","DOIUrl":"10.1007/s00106-024-01542-8","url":null,"abstract":"The burden of allergic diseases is significant for patients, payers in the healthcare system, and the political economy. Numerous studies have demonstrated the efficacy and cost-effectiveness of allergen immunotherapy (AIT) compared to symptomatic treatments. However, allergic patients in Germany often do not receive adequate treatment. This study aims to investigate the reimbursement of allergy diagnostics and AIT for ear, nose, and throat (ENT) physicians in private practice. A model calculation was conducted to assess the reimbursement of allergology services across 12 statutory health insurance associations (Kassenärztliche Vereinigungen, KV) based on the Physician Fee Schedule (Einheitlicher Bewertungsmaßstab, EBM) and KV-specific regulations for the year 2022 [20, 22]. Reimbursement was calculated according to EBM values and with a reduced point value. Quarterly reimbursement for a 3-year therapy and hourly rates for subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT) were analyzed and compared with the average reimbursement per case (durchschnittlicher Honorarumsatz je Behandlungsfall, DHPB). Adherence to the budget resulted in ENT physicians being reimbursed above the DHPB for SCIT in every KV. This remained true for most KVs, even when the excess to the case value was only rewarded at 15%. Reimbursement for a 3-year SLIT was lower than the DHPB across all KVs. Allergy diagnostics and AIT represent economically advantageous options for ENT practices. Maintenance therapy demonstrates a positive cost-benefit ratio, supporting the call for a consistent 3‑year treatment regimen.","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"225-232"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124176","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

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