[Guideline "Implantable hearing aids"-short version : German S2k guideline of the Working Group of German-speaking Audiologists, Neurootologists and Otologists (ADANO), of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO) in collaboration with the German Society of Audiology (DGA), the German Society of Phoniatrics and Pediatric Audiology (DGPP), and patient representatives].
[Guideline "Implantable hearing aids"-short version : German S2k guideline of the Working Group of German-speaking Audiologists, Neurootologists and Otologists (ADANO), of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO) in collaboration with the German Society of Audiology (DGA), the German Society of Phoniatrics and Pediatric Audiology (DGPP), and patient representatives]. HNO. 2018 Aug 06;: Authors: Beutner D, Delb W, Frenzel H, Hoppe U, Hüttenbrink KB, Mlynski R, Limberger A, Schönweiler R, Schwab B, Todt I, Walger M, Wesarg T, Zahnert T, Zeh R, ADANO, DGHNO, D...
Source: HNO - August 9, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Laryngologie, Phoniatrie.
Authors: PMID: 30069689 [PubMed - in process] (Source: HNO)
Source: HNO - August 3, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Stimulation for sleep apnea : Targeting the hypoglossal nerve in the treatment of patients with OSA].
Authors: Heiser C, Hofauer B Abstract Standard treatment of obstructive sleep apnea (OSA) is nightly application of positive airway pressure therapy (CPAP). However, adherence to CPAP is limited due to side effects and complications, and patients are frequently untreated or undertreated. In this scenario, patients with OSA are at risk of developing comorbidities such as arterial hypertension, coronary artery disease, or diabetes, and are exposed to an increased risk of experiencing traffic or occupational accidents due to daytime sleepiness. Alternative treatments include mandibular advancement devices or positiona...
Source: HNO - July 30, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Medical examination: Preparation for ENT specialisation : Part  37].
[Medical examination: Preparation for ENT specialisation : Part 37]. HNO. 2018 Jul 25;: Authors: Darbinjan A, Neudert M PMID: 30046859 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 28, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Molecular networks of hypoxia and neuronal apoptosis in the cochlea].
CONCLUSION: While c‑JUN acts as an important modulator of the balance between cell death and survival, the associations of NGFR and CASP3 seem to be significant for the initiation of cell death. The evaluation and application of findings from biostatistical databases is important for understanding the function of individual genes and gene clusters in medically relevant biological processes. PMID: 30043174 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 27, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Newly developed biofeedback program for facial muscle training in patients with facial paralysis].
CONCLUSION: In the current study, measurement of the facial movements showed a reliable agreement with the clinical classification according to House-Brackmann. The biofeedback system is a reliable support tool during the regeneration phase in patients with facial paralysis.. PMID: 30030571 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 23, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Pilot study: Determination of the subjective trunk vertical in upright head position].
CONCLUSION: Apart from the macular organs the vestibulocervical sensory afference is involved in finding the trunk vertical. A difference in age to the disadvantage of the older healthy subjects was observed, as well as a lack of learning success after applied C‑TENS. The presented pilot study was able to confirm that a correct vertical trunk sensation is caused by vestibulocervical sensory afference in upright head position. PMID: 30022256 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 21, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Influence of hearing on vestibulospinal control in healthy subjects.
Authors: Seiwerth I, Jonen J, Rahne T, Schwesig R, Lauenroth A, Hullar TE, Plontke SK Abstract BACKGROUND: Balance control is based on multisensory interaction. In addition to vestibular, proprioceptive and visual information, it seems that auditory input also plays an important role. OBJECTIVES: The aim of the study was to investigate the effect of hearing on vestibulospinal coordination and to obtain deeper knowledge about mechanisms of audiovestibular interaction. MATERIALS AND METHODS: In normal hearing, healthy subjects who performed the Unterberger (Fukuda) stepping test with and without frontal prese...
Source: HNO - July 21, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Diagnostics and treatment of lacrimal duct diseases : A  structured patient-centred care concept].
CONCLUSION: Basic ophthalmologic diagnostics are complemented by special symptom-based examinations. Due to ongoing improvement of available diagnostic and therapeutic options, patients' care is becoming increasingly individualised. PMID: 30019233 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 20, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Acute neural hearing loss after cervical spine injection treatment].
This article presents the case of a 39-year-old woman receiving injection therapy for cervicalgia. Due to accidental injection into the cervical spinal cord, the patient suffered from syncope, sensomotoric deficit, and bilateral neural hearing loss. Injection therapies for spinal disorders are routinely carried out in clinical practice, despite a low level of evidence and potentially severe complications. In the event of neuro-otologic complications, prompt evaluation by an otologist should be sought and rehabilitation initiated if necessary. PMID: 30006652 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 15, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Orbital traumatology].
CONCLUSION: Traumatology of the orbit requires that therapeutic decisions be made on an individual patient basis. Even a conservative regime can lead to good results. The treatment of fractures of the orbit and the midface should be in the hands of experienced midface surgeons due to the technical competence with regard to the anatomy of the neighboring structures. PMID: 29992340 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 13, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Orbital neoplasia causing proptosis].
Authors: Pausch NC, Wiegand S, Meixensberger J PMID: 29971535 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 6, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Systematic literature search in PubMed : A short introduction].
Authors: Blümle A, Lagrèze WA, Motschall E Abstract In order to identify current (and relevant) evidence for a specific clinical question within the unmanageable amount of information available, solid skills in performing a systematic literature search are essential. An efficient approach is to search a biomedical database containing relevant literature citations of study reports. In this article, we explain step by step how to perform a systematic literature search via PubMed (MEDLINE) by means of an example research question in the field of ophthalmology. First, we demonstrate how ...
Source: HNO - July 6, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Hearing preservation in children with electric-acoustic stimulation after cochlear implantation : Outcome after electrode insertion with minimal insertion trauma].
CONCLUSIONS: The results in children are consistent with the results in adults. Electric-acoustic stimulation (EAS) should be used in the treatment of children with existing low-frequency residual hearing, as good residual hearing preservation can also be achieved in children after implantation. PMID: 29971537 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - July 6, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[New possibilities with retroflexed functional endoscopy].
CONCLUSION: The advantages of functional endoscopy have an impact not only on the medical staff and patients. Its precise and participatory approach is relevant to healthcare, enlarges the diagnostic horizon, and forms a basis for interdisciplinary collaboration. PMID: 29968191 [PubMed - in process] (Source: HNO)
Source: HNO - July 4, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Techniques of dysphagia diagnosis].
Authors: Arens C PMID: 29968192 [PubMed - in process] (Source: HNO)
Source: HNO - July 4, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Nasennebenh öhlen/Rhinobasis.
Nasennebenhöhlen/Rhinobasis. HNO. 2018 Jul;66(7):502-503 Authors: PMID: 29968193 [PubMed - in process] (Source: HNO)
Source: HNO - July 4, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Is routine histopathologic examination of middle ear cholesteatoma necessary?]
CONCLUSION: Intraoperatively, there is a high degree of accuracy in diagnosing cholesteatoma. The cost factor of the histological examination is low and should not be the basis for the decision. The ear microscopy and the experience of the ear surgeon should be decisive for the decision for histological examination. PMID: 29947855 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 28, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Influence of hearing on vestibulospinal control in healthy subjects. German version].
Authors: Seiwerth I, Jonen J, Rahne T, Schwesig R, Lauenroth A, Hullar TE, Plontke SK Abstract BACKGROUND: Balance control is based on multisensory interaction. In addition to vestibular, proprioceptive and visual information, it seems that auditory input also plays an important role. OBJECTIVES: The aim of the study was to investigate the effect of hearing on vestibulospinal coordination and to obtain deeper knowledge about mechanisms of audiovestibular interaction. MATERIALS AND METHODS: In normal hearing, healthy subjects who performed the Unterberger (Fukuda) stepping test with and without frontal prese...
Source: HNO - June 28, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Submucous cleft palate and a congenitally short velum: effects of surgical intervention].
CONCLUSION: Surgical intervention was particularly effective in children younger than 5 years. Syndromic diseases are disproportionately associated with soft palate defects. PMID: 29947857 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 28, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Peripheral blood cell count and inflammation-based markers in chronic rhinosinusitis].
CONCLUSIONS: Blood leukocyte and neutrophil counts were higher in neutrophilic CRS. Differences between patients with CRS with nasal polyps (NP) and CRS without NP were significant for blood leukocytes, neutrophils, monocytes, eosinophils, CRP, NLR and MLR values. In CRS with NP, peripheral blood leukocyte, neutrophil, monocyte and eosinophil counts, as well as CRP, NLR and MLR values were higher than in CRS without NP. Our results show that all individuals with CRS could benefit from the analysis of blood counts and inflammation-based markers at the beginning of their evaluation. High levels of inflammation-based markers ...
Source: HNO - June 27, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Subjective improvement of hearing through cochlear implantation].
CONCLUSION: The moderate correlation of both subjective and objective measurement methods underlines the importance of enquiring the patients' subjective perception and satisfaction. Through the combination of subjective statements and measurements of speech comprehension it is possible to obtain a comprehensive picture of the hearing performance of CI recipients. PMID: 29934847 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 27, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[State of the art of quality-of-life measurement in patients with chronic otitis media and conductive hearing loss].
Authors: Lailach S, Baumann I, Zahnert T, Neudert M Abstract The evaluation of results after middle ear reconstruction has been mainly based on functional parameters. In clinical practice as well as in otological research, the pure tone audiogram represents the gold standard in the assessment of the postoperative outcome. In order to assess the patient's subjective outcome, outcome analyzes focus increasingly on the health-related quality of life (HRQOL). However, the evaluation of HRQOL requires reliable and validated measuring instruments. A modest number of validated questionnaires for determination of the disea...
Source: HNO - June 21, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Clinical management of epistaxis].
CONCLUSIONS: High age and posterior bleeding source seem to raise the necessity of inpatient therapy. In most cases tamponade is sufficient for treatment. Initial laboratory tests are of limited use to estimate risk of recurrence, but is necessary for patients taking coumarins to determine INR control. PMID: 29915939 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 21, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Eosinophilic esophagitis: an underdiagnosed cause of dysphagia and food impaction to be recognized by otolaryngologists.
The objective of this article is to raise awareness of this condition, update otolaryngologists with the new EoE consensus, and highlight the need for biopsy in patients with dysphagia to rule out EoE. PMID: 29876624 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 8, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Complications and complication management in rhinology].
Authors: Beule AG PMID: 29872902 [PubMed - in process] (Source: HNO)
Source: HNO - June 7, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Innenohrschwerh örigkeit, Tinnitus.
Innenohrschwerhörigkeit, Tinnitus. HNO. 2018 Jun;66(6):416-417 Authors: PMID: 29872903 [PubMed - in process] (Source: HNO)
Source: HNO - June 7, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Management of developmental speech-language disorders in children : Part  2: Intervention and remediation].
[Management of developmental speech-language disorders in children : Part 2: Intervention and remediation]. HNO. 2018 May 29;: Authors: Schönweiler R Abstract In the first part of this seminar paper, speech-language development tests were presented and the importance of the differential diagnosis of the underlying causes of the diagnosed language development disorder was discussed. The second part focuses on counseling and training of the parents, as well as the different treatment methods used for speech-language therapy for affected children in out- and inpatient settings. These procedures ...
Source: HNO - June 1, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Medical examination: Preparation for ENT specialisation : Part  36].
[Medical examination: Preparation for ENT specialisation : Part 36]. HNO. 2018 May 29;: Authors: Eichhorn T PMID: 29845307 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 1, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Management and complications of tumor resections of the midface].
Authors: Beule AG Abstract Only about 8% of head and neck tumors affect the midface. This anatomical area is characterized by an enormous number of functionally important structures, and it is frequently only possible to achieve small resection margin distances. To avoid complications and unfavorable results, a dedicated preparation of both patient and surgeon is warranted. This review aims to provide encouragement for the postgraduate training of interested ENT specialists. Following the clinical course and based on recent literature, strategies to avoid complications of tumor surgery to the midface are given...
Source: HNO - May 29, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Complications and side effects of conservative treatment of rhinological diseases].
CONCLUSION: Particularly when treating children or pregnant or breastfeeding women, the indications of all nasal preparations should be checked carefully. The huge variety of rhinologicals enables an optimal individual selection on the basis of consideration of known side effects. PMID: 29767298 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - May 18, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Recognition and prevention of problems in lacrimal duct surgery].
Authors: Kühnel T Abstract Surgical management of lacrimal duct obstruction beyond the canaliculi proves to be a promising endeavor in most cases. To realize the full potential of endonasal dacryocystorhinostomy, some aspects of diagnosis and differential indication setting should be considered in order to avoid errors and problems during patient selection, execution of the technical procedure, and communication with ophthalmologists. These issues are described according to the clinical management of patients; current literature is cited. PMID: 29761204 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - May 17, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Complications of anterior skull base surgery].
Authors: Wagenmann M, Scheckenbach K, Kraus B, Stenin I Abstract Anterior skull base operations are complex surgical procedures that are performed to treat serious and complicated diseases. Despite significant advances in surgical techniques, complications are relatively frequent and can be serious. Endoscopic skull base surgery seems to be associated with less complications than open techniques. Different classifications aimed at categorizing these complications have been suggested, the use of which can be recommended when reporting complication rates. The most relevant and frequent complications of anterior skull...
Source: HNO - May 11, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Management of developmental speech-language disorders in children : Part  1: Diagnosis and underlying comorbid diseases].
[Management of developmental speech-language disorders in children : Part 1: Diagnosis and underlying comorbid diseases]. HNO. 2018 May 04;: Authors: Schönweiler R Abstract Compared to other countries, the prevalence of speech-language disorders among children and also the intervention frequency appear to be much higher in Germany. Since otorhinolaryngologists often initiate speech-language interventions, the first part of this review systematically outlines the guideline-conform diagnostic pathway from examination to therapeutic intervention. The process of first developing a suspected ...
Source: HNO - May 9, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Bothersome tinnitus : Cognitive behavioral perspectives.
Authors: Cima RFF Abstract Tinnitus is not traceable to a single disease or pathology, but merely a symptom, which is distressing to some but not all individuals able to perceive it. The experience of tinnitus does not equate to tinnitus distress. Tinnitus suffering might be understood as a function of tinnitus-related distress in that bothersome tinnitus is an illness rather than a disease. In bothersome (distressing) tinnitus, the perception of the characteristic sound is a very disturbing and bothersome experience because of maladaptive psychological responses. Several cognitive and beha...
Source: HNO - May 2, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Update HNO.
Authors: PMID: 29713759 [PubMed - in process] (Source: HNO)
Source: HNO - May 2, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Diagnosis and treatment of Osler's disease].
Authors: Haubner F, Kühnel T Abstract Osler's disease is an autosomal dominant hereditary syndrome which belongs to the group of orphan diseases. Affected patients suffer primarily from severe epistaxis. Diagnosis is based on the Curaçao criteria and molecular genetic tests. Organ manifestations can be found in the form of arteriovenous shunts in the lung, liver, and gastrointestinal tract; more rarely also in the central nervous system (CNS) and other parts of the body. Many patients with gastrointestinal and other organ manifestations are frequently clinically asymptomatic; therefore, organ screening ...
Source: HNO - April 27, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Conflicts of interest in guidelines].
Authors: Stuck BA PMID: 29654330 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - April 15, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Research Today-Future Tomorrow : 89th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery].
Authors: Wollenberg B PMID: 29619537 [PubMed - in process] (Source: HNO)
Source: HNO - April 7, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[The German Society of Otorhinolaryngology, Head and Neck Surgery award winners 2015 and 2017].
Authors: Praetorius M PMID: 29619538 [PubMed - in process] (Source: HNO)
Source: HNO - April 7, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Plastische Operationen.
Authors: PMID: 29619539 [PubMed - in process] (Source: HNO)
Source: HNO - April 7, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[The role of innate immunity in otitis media].
Authors: Wigand M, Hoffmann TK, Ryan AF, Wollenberg B, Leichtle A Abstract Otitis media (OM) belongs to the most common pediatric diseases and causes more medical contacts, surgical interventions, and drug prescriptions than any other infectious disease. Recent findings have identified a critical role of innate immunity in recovery from OM. The middle ear mucosa identifies invading pathogens by sensing pathogen-associated molecule patterns (PAMPs) via pattern recognition receptors such as the Toll-like receptors (TLRs). They generate immediate antimicrobial responses and cytokine release, leading to an inflamm...
Source: HNO - March 29, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Staging of oropharyngeal carcinomas : New TNM classification as a  challenge for head and neck cancer centers].
CONCLUSION: Clinical trials will have to show whether deescalation strategies regarding p16-positive carcinomas are supported by the changes made in the TNM staging system. A prospective multicenter study should examine the universal applicability, the appropriateness for all sublocations, as well as the prognostic significance of the current edition. PMID: 29536123 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - March 16, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Dependency of APHAB score in the ECu subscale on age, gender and subjective hearing loss : Hearing aid fitting in two subjective hearing loss groups].
CONCLUSION: The distribution with two maximums in the ECu subscale can be explained by individual differences in terms of age and hearing loss, in part also by gender. The lower absolute number of patients in group 1 could be explained by the still relatively late fitting of hearing aids in general. PMID: 29532108 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - March 15, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Regulatory dysfunctions in nasal polyposis].
Authors: Koennecke M, Pries R, Wollenberg B Abstract Chronic rhinosinusitis is a heterogeneous group of inflammatory diseases with significant annual costs for the health care system. To date, there is no distinct signaling pathway known that explains the entire process from the beginning to tissue transformation. Due to the diversity of chronic rhinosinusitis, no uniform treatment has yet been developed. With a focus on chronic rhinosinusitis with nasal polyps (CRSwNP), molecular biologic gene expression studies have been performed to identify specific characteristics of nasal polyps that might allow the...
Source: HNO - March 9, 2018 Category: ENT & OMF Tags: HNO Source Type: research

On the classification of hydropic ear disease (Meni ère's disease).
On the classification of hydropic ear disease (Menière's disease). HNO. 2018 Mar 02;: Authors: Gürkov R, Hornibrook J Abstract More than 150 years after its initial description by Prosper Menière, the disease named after him is still at the center of scientific debates. Two recent developments have specifically created a breeding ground for controversy: (1) Since its first description 10 years ago, magnetic resonance imaging diagnosis of endolymphatic hydrops in living patients has seen an increasing and worldwide application. (2) The Bárány Soc...
Source: HNO - March 5, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Rare differential diagnosis of conductive hearing loss in childhood].
Authors: Pein MK, Rahne T, Noll A, Plontke SK PMID: 29500498 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - March 5, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[Medical examination: preparation for ENT specialisation : Part  35].
[Medical examination: preparation for ENT specialisation : Part 35]. HNO. 2018 Mar 02;: Authors: Offergeld C, Alballaa A PMID: 29500499 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - March 5, 2018 Category: ENT & OMF Tags: HNO Source Type: research

[B  cells in head and neck oncology].
[B cells in head and neck oncology]. HNO. 2018 Mar 02;: Authors: Schuler PJ, Brunner C, Hoffmann TK Abstract As immunotherapy is becoming increasingly important in the treatment of head and neck cancer, a fundamental understanding of the immunological relationships in the tumor microenvironment is required. The importance of tumor-infiltrating B cells (TIL-B) has been largely neglected so far. In the current literature, however, a significant influence of B cells on tumor growth is described, so that this cell population is now also perceived as a therapeutic target struct...
Source: HNO - March 5, 2018 Category: ENT & OMF Tags: HNO Source Type: research

Tinnitus-New challenge and therapeutic approaches.
Authors: Mazurek B PMID: 29500501 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - March 5, 2018 Category: ENT & OMF Tags: HNO Source Type: research