Dehiszenzsyndrome

Ernst, Arneborg; Todt, Ingo; Wagner, J.

doi:10.1007/s00106-016-0255-2

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…71 Recently, the VSB has shown to be effective in reducing the perceived levels of tinnitus 72,73 and has started to be explored as an alternative for managing balance problems together with SNHL. 74 Quantitative Data Synthesis ADVERSE EVENTS. BC THRESHOLDS.…”

Section: Rionmentioning

confidence: 99%

The development of active middle ear implants: A historical perspective and clinical outcomes

Kließ

Ernst

Wagner

et al. 2018

Laryngoscope Investig Oto

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Objective (s)Energy emitting, active middle ear implants (aMEI) have taken more than two decades of research to reach technological sophistication, medical safety, and regulatory approval to become a powerful tool in treating sensorineural, conductive, and mixed hearing loss. The present review covers this era.Data SourceLiterature found from searching Pubmed (MEDLINE); EMBASE, SciSearch, German Medical Science Journals and Meetings, and The Cochrane Library; and published as of February 2017. Study bibliographies were hand‐searched to find further materials.MethodsA systematic literature review was conducted to identify studies evaluating the safety, efficacy, effectiveness, and subjective outcomes of partially implantable aMEIs. Data were extracted on systems with regulatory approval and summarized narratively. Meta‐analyses were conducted for aMEIs with more than 25 publications. Study selection, data extraction, and quality appraisal for quantitative data synthesis was carried out by two reviewers.ResultsFour hundred thirty‐one studies included in narrative synthesis describe that albeit good audiological outcomes, clinical safety and (dis)investment are major barriers to continued market access. The synthesised risk of adverse events was three fold with the MET than with the VIBRANT SOUNDBRIDGE. With the latter system, audiological outcomes were stable and similar for all indications and age groups.ConclusionTo date, the majority of the literature covers the clinical application of the VIBRANT SOUNDBRIDGE system as it is applicable to a wide range of otologic and audiological conditions, particularly with the introduction of couplers to extend its clinical reach. The MAXUM and MET still have to find their way into surgical routine.Level of Evidence:

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Section: Rionmentioning

confidence: 99%

The development of active middle ear implants: A historical perspective and clinical outcomes

Kließ

Ernst

Wagner

et al. 2018

Laryngoscope Investig Oto

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“…Additional dehiscences may be found in the tegmen tympani or the posterior canal (see Chapter 3.2.4) 150 151 152 , referred to as “honeycomb mastoid” 153 154 . In rare cases, SCD can also be caused by adjacent anatomical structures eroding the bony covering of the superior semicircular canal, such as meningioma or the superior petrous sinus ( Table 3 ) 155 .…”

Section: Episodic Vestibular Syndromesmentioning

confidence: 99%

“…In seltenen Fällen kann eine SCD auch dadurch erzeugt werden, dass angrenzende Strukturen, wie der Sinus petrosus superior oder ein Meningeom, die knöcherne Begrenzung des oberen Bogenganges zur mittleren Schädelgrube hin arrodieren (Übersicht in Tab. 3 ) 155 .…”

Section: 221 Epidemiologie Und Ursachenunclassified

Seltene Erkrankungen des vestibulären Labyrinths: von Zebras, Chamäleons und Wölfen im Schafspelz

Dlugaiczyk

2021

Laryngorhinootologie

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ZusammenfassungDie Differenzialdiagnose von Erkrankungen des vestibulären Labyrinths stellt eine grosse Herausforderung dar, da sich hinter dem sehr häufigen Leitsymptom «Schwindel» viele verschiedene und v. a. seltene Erkrankungen verbergen können. Der vorliegende Beitrag gibt einen Überblick über die für den HNO-Arzt wichtigen seltenen Erkrankungen des vestibulären Labyrinths ausgehend von ihrer klinischen Präsentation als akutes (AVS), episodisches (EVS) oder chronisches vestibuläres Syndrom (CVS). Der Schwerpunkt liegt dabei auf den EVS, sortiert nach ihrer Dauer und dem Vorhandensein von Triggern (Sekunden, ohne Trigger: Vestibularisparoxysmie, Tumarkin-Krise; Sekunden, lärm- und druckinduziert: Syndrome des «dritten Fensters»; Sekunden bis Minuten, positionsabhängig: seltene Varianten und Differenzialdiagnosen des benignen paroxysmalen Lagerungsschwindels; Stunden bis Tage, spontan: intralabyrinthäre Schwannome, Tumoren des endolymphatischen Sacks, Autoimmunerkrankungen des Innenohres). Des Weiteren werden seltene Differenzialdiagnosen eines AVS (Neuritis vestibularis inf., Otolithenfunktionsstörungen, vaskuläre Ursachen, akute bilaterale Vestibulopathie) und eines CVS (bilaterale Vestibulopathie) erläutert. Dabei werden insbesondere die entscheidenden diagnostischen Massnahmen für die Identifikation der einzelnen Krankheitsbilder und die Warnzeichen für potentiell gefährliche Ursachen (z. B. Labyrinthinfarkt/-blutung) dargelegt. Somit dient dieser Beitrag dem HNO-Arzt in Klinik und Praxis als eine Art «Vademecum» für die zügige Identifikation und zeitnahe Therapie seltener Erkrankungen des Gleichgewichtsorgans.

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“…Ansonsten richten sich diese nach den jeweiligen anamnestischen Angaben und können in Abhängigkeit pathologischer Testergebnisse erweitert werden. Zur differenzialdiagnostischen Abklärung eines Bogengangdehiszenzsyndroms sind vestibulär evozierte Potenziale geeignet [46].…”

Section: Vestibularisdiagnostikunclassified

Diagnostik und operative Therapie der Otosklerose

Metasch¹,

Plontke²,

Zirkler³

et al. 2018

Laryngo-Rhino-Otol

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Otosclerosis is an important condition for the otorhinolaryngologist, and often in (differential) diagnosis and therapy challenging disease. Although a causal therapy option does not exist until today, if the diagnosis is correct, an operative or apparative hearing rehabilitation with very high chances of success can be promised. In addition to hearing aids surgical treatment with passive implants as a standard therapy, and in special cases also the implantation of active middle ear implants or cochlear implants, in advanced otosclerosis with significant involvement of the inner ear, are of importance. Knowledge of the definition, pathogenesis, diagnostics and in particular of the differential diagnosis as well as the current conservative and operative therapeutic limits are indispensable for the indication and selection of the optimal treatment path.In a two-part presentation, the current specialist medical knowledge of the disease in diagnosis and therapy is summarized. In addition to modern diagnostic procedures, aspects of therapy and prognosis are considered in a second article. This article therefore primarily refers to continuing education for residents in training and for young specialists.

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Dehiszenzsyndrome

Cited by 8 publications

References 19 publications

The development of active middle ear implants: A historical perspective and clinical outcomes

The development of active middle ear implants: A historical perspective and clinical outcomes

Seltene Erkrankungen des vestibulären Labyrinths: von Zebras, Chamäleons und Wölfen im Schafspelz

Diagnostik und operative Therapie der Otosklerose

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