Abstract：
:We reviewed 192 patients who had been treated for chronic otitis media. All operations were carried out at the Department of Otolaryngology, University of Tübingen. No patient had a previous ear operation and revision operations were excluded. The observation period varied from a minimum of 1 year to a maximum of 4 1/2 years. The ossicular chain was partially destroyed in 43 ears (22.4%). Ossiculoplasty was performed using autologous ossicles. An inens was used in 31 ears and a malleus in 12 cases. The overall failure rate was 20.8%. Most recurrent perforations were found in middle-aged patients. Children had only a 14% incidence of recurrent perforations. Fascia was the material associated with the highest failure rate (28.6%). After using perichondrium 6.8% of the cases had recurrent perforations, whereas the perichondrium-cartilage transplant was not successful in 4.8%. Overall, 62.7% of the patients were found to have an air-bone gap of 10 dB or less at 1.5 kHz 3-6 months after surgery. An air-bone gap of 20 dB or less was found in 91.2% of the patients. The main problem seen in the patients with chronic otitis media was not reconstruction of the ossicular chain but a lasting closure of the tympanic membrane. The perichondrium-cartilage transplant permitted the best results and is now recommended especially for patients with unfavorable middle ear conditions. A long-lasting closure of the tympanic membrane was also found in children (< or = 15 years of age). For this reason we also recommend an early operation in order to allow children to lead a normal life.
journal_name
HNOjournal_title
HNOauthors
Baumann I,Diedrichs HW,Plinkert PK,Zenner HPdoi
10.1007/s001060050184subject
Has Abstractpub_date
1997-12-01 00:00:00pages
990-6issue
12eissn
0017-6192issn
1433-0458journal_volume
45pub_type
杂志文章相关文献
HNO文献大全abstract：:Pathological auditory brainstem responses (lack of responses, elevated thresholds and perturbed waveforms) in combination with present otoacoustic emissions are typical audiometric findings in patients with a hearing impairment that particularly affects speech comprehension or complete deafness. This heterogenous grou...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-006-1450-3
更新日期：2006-11-01 00:00:00
abstract：BACKGROUND:Central auditory processing disorders (CAPD) are associated with reduced discriminatory abilities of the auditory system. One of these abilities is directional hearing, which is based on the evaluation of interaural signal differences. Since these differences affect also the binaural difference potentials (B...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-006-1455-y
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:In 2003 Baiardini et al. presented the RHINASTHMA questionnaire, which measures the impairment of quality of life in patients with rhinitis and asthma and takes the "united airway disease" model into its account. The aim of our study was to create a valid version of this questionnaire adapted for use with Ge...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-006-1453-0
更新日期：2007-05-01 00:00:00
abstract：AIM:The influence of bilateral cochlear implants (CI) and unilateral CI on the self-reported listening effort in standardized situations is being assessed. SAMPLE AND METHODS:The sample consisted of 34 bilateral and 38 unilateral adult CI users. Unilateral CI users had at least severe hearing loss in the non-implanted...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-015-0020-y
更新日期：2015-08-01 00:00:00
abstract：:Malignancies of the nose, paranasal sinuses and anterior skull base are characterized by their hidden locations and late clinical manifestation. This explains why most of the patients at the University of Tübingen were diagnosed in an advanced tumor stage (15 T1/T2; 33 T3/T4). Surgical treatment was possible in 35 cas...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：BACKGROUND:Digitalization is significantly changing the entire healthcare sector. Hospitals must act now in order to remain competitive. OBJECTIVE:To assess which approaches exist for digitalization along the treatment chain and how digitalization can be strategically implemented. MATERIALS AND METHODS:An analysis of...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-019-0655-1
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Contaminated medical products may be vectors for infections. A safe disinfection method for the optical instruments used by ENT specialists is undoubtedly needed. So far, a standard method that sufficiently covers the risk of infection for patients and medical staff alike, while serving the need of practicab...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-006-1493-5
更新日期：2007-05-01 00:00:00
abstract：:In 1987 Lopez published the results of a survey of voice rehabilitation after total laryngectomy as carried out by 400 North American ENT surgeons. In order to obtain the same information on the current state of voice rehabilitation in the German Federal Republic we did a similar survey of 103 ENT clinics. Ninety-five...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：INTRODUCTION:The aim of the present study is to identify clinical factors that influence the incidence and the prognosis of local and regional recurrences. PATIENTS AND METHODS:The data of 1,426 patients with newly diagnosed squamous cell carcinoma of the upper aerodigestive tract who were treated by curative laser mi...
journal_title：HNO
pub_type： 临床试验,杂志文章
doi：10.1007/s00106-007-1590-0
更新日期：2007-12-01 00:00:00
abstract：BACKGROUND:Digitalization has become a part of everyday life and digital applications offer an opportunity to promote health. In Germany, hearing rehabilitation after cochlear implantation (CI) typically takes place in specialized audiology centers. However, a variety of new auditory training programs have been develop...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-020-00898-x
更新日期：2020-11-01 00:00:00
abstract：:In cystic fibrosis (CF) mucociliary clearance of the entire respiratory system is impaired. This allows pathogens, such as Pseudomonas aeruginosa to persist and proliferate, which by progressive pulmonary destruction causes 90 % of premature deaths due to this inherited disease. The dramatic improvement in life expect...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-015-0069-7
更新日期：2015-11-01 00:00:00
abstract：:Several different theories exist about the origin of kinetosis and the space adaptation syndrome, with individual sensitivities differing significantly. One explanation involves the hypothesis of a different otolith mass between the right and left statolith organ and especially a difference in the utricles. A differen...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s001060050106
更新日期：1997-04-01 00:00:00
abstract：BACKGROUND:Intraoperative measurements of local intracapillary hemoglobin oxygenation of the human cochlea via the round window membrane have been shown to be possible using the Erlangen microlight-guided spectrophotometer. The aim of the present study was to develop a new microlight guide suitable for measurements in ...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s001060050112
更新日期：1997-05-01 00:00:00
abstract：:The face plays a central role in interpersonal communication and aesthetic perception. Moreover, due to the heavy dependence of ocular function on lid anatomy, the treatment of periocular injuries, particularly those involving soft tissue loss, requires profound knowledge of both anatomy and reconstructive plastic sur...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-011-2350-8
更新日期：2011-08-01 00:00:00
abstract：:From Dec. 1980 to May 1984 26 patients with inoperable carcinomas of oral cavity, oropharynx and hypopharynx, were treated by us by a primary systemic chemotherapy. At all there were 95 patients with carcinoma of oral cavity, oropharynx, and hypopharynx, among these in 62 cases primary surgery was possible. In seven c...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1987-01-01 00:00:00
abstract：:An unusually long uvula as a cause of chronic throat irritation with the sensation of a foreign body in a 35-year old patient is reported, with symptoms relieved by partial resection of the uvula. ...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1977-01-01 00:00:00
abstract：:Calcium phosphate ceramics have been proposed for obliteration of the mastoid cavity in middle ear surgery. To our knowledge no experimental data are available concerning the use of homologous fibrin glue associated with hydroxyapatite (HA) in animals. Obliteration of the epitympanic space and closure of defects in th...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1989-03-01 00:00:00
abstract：:Despite recent advances in radiochemotherapy, treatment of locally advanced head and neck squamous cell carcinoma is still challenging, and survival rates have improved only slightly. This is due to the high frequency of metastases and local and/or regional tumor recurrences that have acquired radio- or chemoresistanc...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-015-0111-9
更新日期：2016-05-01 00:00:00
abstract：:The Freiburg speech intelligibility test according to DIN 45621 was introduced around 60 years ago. For decades, and still today, the Freiburg test has been a standard whose relevance extends far beyond pure audiometry. It is used primarily to determine the speech perception threshold (based on two-digit numbers) and ...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-016-0150-x
更新日期：2016-08-01 00:00:00
abstract：:A great number of surgical techniques for the correction of protruding ears have been developed. Their basic concepts originate from Mustardé's suture, the scoring technique described by Chongchet, Stenström, and Cricelair, and the combined suture and scoring technique described by Converse. Techniques for cavum rotat...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-006-1412-9
更新日期：2006-08-01 00:00:00
abstract：:The histopathology of neuroblastomas of the olfactory nerve, especially the difficult differential diagnosis is described by means of our own observations, and compared with other less differentiated malignant tumours of the inner nose. Ultrastructural results are presented, histogenesis and classification of olfactor...
journal_title：HNO
pub_type： 杂志文章,评审
doi：
更新日期：1983-01-01 00:00:00
abstract：BACKGROUND:The accidental application of cyanacrylate (superglue) into the outer ear canal requires different treatments depending on location and extent. METHODS:Two case studies are presented. Treatment included surgical removal, with or without prior conservative treatment, for complete canal obstruction, as well a...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-006-1510-8
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:Primary immunodeficiency is a rare disease of humoral and cellular immune defense, which can lead to severe and recurrent infections of different organs. The diagnosis of this disease is often difficult, and its early identification is necessary for adequate treatment and control. OBJECTIVE:This study aimed...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-019-0683-x
更新日期：2019-11-01 00:00:00
abstract：:Head and neck squamous cell carcinoma (HNSCC) is characterized by its intense immune suppression and its elaborate immune escape mechanisms. Due to the fact that survival rates remain low, the role of immunotherapy has become more important and the focus of current clinical studies has shifted toward antibody-based im...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-016-0131-0
更新日期：2016-07-01 00:00:00
abstract：:MALT lymphomas of the orbit are rare orbital tumors; the differential diagnosis needs to exclude inflammatory pseudotumors of the orbit, but also benign lymphoproliferations, pseudolymphomas, and other orbital neoplasms. After histological confirmation of the diagnosis staging is necessary, and - as long as the diseas...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-006-1497-1
更新日期：2008-02-01 00:00:00
abstract：:Sudden inner ear hearing loss initially might suggest a psychogenic disorder of hearing, particularly when it is bilateral and simultaneous. The differential diagnosis includes disseminated encephalitis, syphilitic labyrinthitis and Cogan's syndrome. The history and cause of acute bilateral deafness in meningitis are ...
journal_title：HNO
pub_type： 杂志文章,评审
doi：
更新日期：1991-10-01 00:00:00
abstract：:Four low-vacuum systems and 6 high-vacuum systems were examined concerning their pressure-volume relationships. For each type the maximum filling volume for sufficient drainage of wound secretions was determined. The use of a wound fluid substitute instead of water resulted in a lower aspiration volume. Enlargement of...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:We report two cases of chemodectoma of the larynx. A 70-year-old man underwent a laryngectomy in April 1984 for a tumor diagnosed as a squamous cell carcinoma but which postoperatively proved to be a chemodectoma. Ipsilateral cervical metastases appeared 2 years later and were removed by local excision. Shortly therea...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：:Only a few psychological papers deal with functional dysphonia. Even fewer empirical studies are concerned with the importance of variations in personality and neurotic behavioural patterns that are typical of functional dysphonia. The enumeration of other functional disorders is important. We suggest that difficultie...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1987-06-01 00:00:00
abstract：BACKGROUND:Tissue engineering is a promising method for the generation of chondrogenic grafts for reconstructive surgery. In cultured chondrocytes, the dedifferentiation of cells seems unavoidable for multiplication. METHODS:In this study, we investigated the expression of distinct markers during the dedifferentiation...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-005-1322-2
更新日期：2006-04-01 00:00:00
