{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:38:37Z","timestamp":1788910717953,"version":"build-2803163510"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:00:00Z","timestamp":1595980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Charit\u00e9"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Bei pl\u00f6tzlich aufgetretener einseitiger hochgradiger sensorineuraler H\u00f6rst\u00f6rung bzw. Ertaubung k\u00f6nnen Patienten nach frustraner intraven\u00f6ser Glukokortikoidtherapie einer explorativen Tympanotomie mit Abdeckung des runden und\/oder ovalen Fensters (RF und\/oder OF) wegen des Verdachts einer Rundfenstermembranruptur mit Perilymphfistel (PLF) oder einer Fissula ante fenestram (FAF) behandelt werden. Die Studie untersucht, ob die zus\u00e4tzliche Abdeckung des ovalen Fensters im Vergleich zur alleinigen Abdeckung des runden Fensters einen zus\u00e4tzlichen H\u00f6rgewinn bringt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Die retrospektive Studie untersucht 54\u00a0Patienten mit akuter Ertaubung und durchgef\u00fchrter Tympanoskopie, bei denen Audiogramme von 3\u00a0Zeitpunkten (pr\u00e4operativ, nach Detamponade sowie mindestens 3\u20136\u00a0Monate postoperativ) vorlagen. Bei 28\u00a0Patienten erfolgte neben der Rundfensterabdeckung die zus\u00e4tzliche Abdeckung des ovalen Fensters.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnis<\/jats:title>\n                <jats:p>Eine intraoperativ sichtbare PFL bzw. FAF wurde in keinem Operationsbericht beschrieben. Die H\u00f6rschwellen waren im fr\u00fchen postoperativen Zeitraum bereits hoch signifikant geringer und verbesserten sich im weiteren Verlauf. Zwischen den Subgruppen RF und RF\u202f+\u2009OF zeigte sich in beiden postoperativen Zeitr\u00e4umen kein signifikanter Unterschied. Bei 65\u202f% (Kriterien nach Kanzaki) und 74\u202f% (Kriterien nach Siegel) der Patienten konnte postoperativ eine partielle bzw. komplette H\u00f6rverbesserung nachgewiesen werden. Beim Vergleich der Patientengruppen mit bzw. ohne postoperative H\u00f6rverbesserung zeigten sich keine statistischen Unterschiede bez\u00fcglich Geschlecht, Alter, Nebendiagnosen oder Latenz der Operation bis zum Symptombeginn.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>In dieser Studie zeigte die zus\u00e4tzliche Abdeckung des OF keine signifikante H\u00f6rverbesserung. Die postoperative H\u00f6rverbesserung entspricht den publizierten Spontanremissionsraten. Nur eine prospektive multizentrische Studie mit Kontrollgruppe kann den Stellenwert der Tympanoskopie und mit Rund- bzw. ovaler Fensterabdeckung bei einer akuten hochgradigen sensorineuralen Schwerh\u00f6rigkeit vor dem Hintergrund der Spontanremissionen kl\u00e4ren.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-020-00903-3","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T13:05:08Z","timestamp":1596027908000},"page":"31-41","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Bringt die Abdeckung des ovalen Fensters zus\u00e4tzlich zum runden Fenster bei der Reservetherapie der akuten idiopathischen Ertaubung einen Vorteil?","Does sealing the oval window in addition to the round window bring an advantage in reserve therapy of acute idiopathic deafness?"],"prefix":"10.1007","volume":"69","author":[{"given":"V. 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