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[Current hypotheses on the development of chronic otitis media with effusion in childhood]. [儿童慢性中耳炎伴积液发展的当前假说]。
IF 0.8 4区 医学
Hno Pub Date : 2025-04-01 Epub Date: 2025-02-28 DOI: 10.1007/s00106-025-01571-x
Annette Runge, Sonja Straif, Matthias Santer, Benedikt Hofauer, Herbert Riechelmann
{"title":"[Current hypotheses on the development of chronic otitis media with effusion in childhood].","authors":"Annette Runge, Sonja Straif, Matthias Santer, Benedikt Hofauer, Herbert Riechelmann","doi":"10.1007/s00106-025-01571-x","DOIUrl":"10.1007/s00106-025-01571-x","url":null,"abstract":"<p><p>Chronic otitis media with effusion (COME) has a major impact on a child's physical and social development. Socioeconomic risk factors as well as new insights gained with modern laboratory technology and large demographic studies of COME in Central Europe are discussed. In total, 428 articles from the past 8 years on PubMed were reviewed as well as current guidelines of German- and English-speaking countries on COME in children. Problems of many original studies include small patient numbers and bias. In addition, a clear distinction between acute otitis media and COME is often missing. Microbiomic profiles and biofilms seem to play a major role in COME. Established theories on the multifactorial origin of COME are mostly supported by new studies, including new insights into immunological and nutritional risk factors. In addition, the socioeconomic background of a child with COME must not be underestimated, even in first-world countries.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"271-282"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525269","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
[Temporary postoperative care with the bone conduction hearing system ADHEAR© : A prospective study on 76 patients]. [骨传导听力系统ADHEAR的临时术后护理©：76例患者的前瞻性研究]。
IF 0.8 4区 医学
Hno Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.1007/s00106-025-01548-w
C Dreyer, Z Ahmad, Matthias Tisch, E Goldberg-Bockhorn
{"title":"[Temporary postoperative care with the bone conduction hearing system ADHEAR© : A prospective study on 76 patients].","authors":"C Dreyer, Z Ahmad, Matthias Tisch, E Goldberg-Bockhorn","doi":"10.1007/s00106-025-01548-w","DOIUrl":"10.1007/s00106-025-01548-w","url":null,"abstract":"<p><strong>Background: </strong>The tamponade applied during ear surgery causes temporary conductive hearing loss with impairment of communication. This can persist until the follow-up procedure (second look, revision) due to insufficient hearing improvement or a prolonged wound healing phase.</p><p><strong>Objective: </strong>This prospective study investigates the subjective and audiological benefit of temporary fitting of a bone conduction hearing aid in patients undergoing ear surgery.</p><p><strong>Materials and methods: </strong>Patients were fitted with the bone conduction hearing system ADHEAR© (MED-EL, Innsbruck, Austria) after ear surgery for the duration of tamponade. A self-developed questionnaire recorded subjective satisfaction with the system. In addition to pre- and postoperative hearing thresholds, speech comprehension was measured in quiet with and without hearing aids after tamponade removal to show the effect of the treatment after tamponade removal in patients with persistent conductive hearing loss.</p><p><strong>Results: </strong>A total of 76 patients were tested and 92% rated the hearing aid as useful during the packed period. More than 60% rated the sound quality as natural and 79% confirmed that they would wear the ADHEAR© again if they had another ear surgery. After packing removal, the air-bone gap was below 10 dB in 66% of patients. On average, speech discrimination improved by 14% in all patients, whereby patients with a persistent sound conduction component ≥ 10 dB (n = 26) achieved the greatest improvement of 25% on average.</p><p><strong>Conclusion: </strong>The results of the study show subjective and audiological benefits with temporary fitting of an adhesive hearing aid to bridge the conductive hearing loss after ear surgery. Continued use of the ADHEAR© could benefit patients with persistent conductive hearing loss until the final fitting appointment (second look, completion of wound healing, revision surgery).</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":"233-241"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607012","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
[Structured reporting in otorhinolaryngology]. [耳鼻喉科的结构化报告]。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-26 DOI: 10.1007/s00106-025-01605-4
Benjamin Philipp Ernst
{"title":"[Structured reporting in otorhinolaryngology].","authors":"Benjamin Philipp Ernst","doi":"10.1007/s00106-025-01605-4","DOIUrl":"https://doi.org/10.1007/s00106-025-01605-4","url":null,"abstract":"<p><p>Structured reporting (SR) is a valuable method for optimizing diagnosis and treatment in various specialist disciplines. While conventional free-text findings are often inconsistent and difficult to compare, structured documentation enables higher quality and completeness of findings. This helps to better manage the increasing complexity and raise therapeutic standards. Studies show that SR leads to a significant improvement in the quality of findings in various areas of otorhinolaryngology. SR also increases time efficiency and inter-rater reliability and contributes to the learning effect. Furthermore, SR increases user and referring physician satisfaction, especially in interdisciplinary application. Future multicenter studies are needed to provide further insights into the practical application and scientific evaluability of SR, also in combination with artificial intelligence.</p>","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722480","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
Psychosomatics in ENT. 耳鼻喉科的身心病学。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-17 DOI: 10.1007/s00106-025-01554-y
Birgit Mazurek, Matthias Rose
{"title":"Psychosomatics in ENT.","authors":"Birgit Mazurek, Matthias Rose","doi":"10.1007/s00106-025-01554-y","DOIUrl":"https://doi.org/10.1007/s00106-025-01554-y","url":null,"abstract":"","PeriodicalId":55052,"journal":{"name":"Hno","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652077","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
[Stress and depression-a neurobiological perspective]. [压力与抑郁--神经生物学视角]。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-01 Epub Date: 2024-07-25 DOI: 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}
引用次数: 0
[Psychosomatic medicine for patients with Meniere's disease]. [梅尼埃病患者的心身医学]。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-01 Epub Date: 2024-05-10 DOI: 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}
引用次数: 0
[Psychosomatic Medicine in ENT-German version]. [德语版身心医学]。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-01 Epub Date: 2025-02-19 DOI: 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}
引用次数: 0
[Unmet medical needs in otorhinolaryngology]. [耳鼻喉科未满足的医疗需求]。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-01 Epub Date: 2024-11-06 DOI: 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}
引用次数: 0
Stressful life events and tinnitus : Reflections and speculations. 生活压力事件与耳鸣：思考与推测。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-01 Epub Date: 2024-08-02 DOI: 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}
引用次数: 0
[Chronic crusting of the ear canal with hearing loss]. [耳道慢性结痂伴听力损失]。
IF 0.8 4区 医学
Hno Pub Date : 2025-03-01 Epub Date: 2024-11-04 DOI: 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}
引用次数: 0
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