{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T18:43:45Z","timestamp":1700592225655},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T00:00:00Z","timestamp":1623628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T00:00:00Z","timestamp":1623628800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec><jats:title>Hintergrund<\/jats:title><jats:p>Endoskopische Ohrchirurgie (\u201eendoscopic ear surgery\u201c, EES) wird international immer h\u00e4ufiger anstelle der mikroskopischen Ohrchirurgie (\u201emicroscopic ear surgery\u201c, MES) eingesetzt, hat sich in Deutschland aber als Routineverfahren noch nicht etabliert.<\/jats:p><\/jats:sec><jats:sec><jats:title>Fragestellung<\/jats:title><jats:p>Untersucht wurden die Schnitt-Naht-Zeiten bei der EES und die Praktikabilit\u00e4t der Methode im deutschen Klinik-Setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material und Methoden<\/jats:title><jats:p>In einer retrospektiven Studie wurden 60\u00a0konsekutive mikroskopisch operierte Patienten (MES) von 2015 mit 60\u00a0konsekutiven endoskopisch operierten Patienten aus dem Jahr 2018 verglichen. Verglichen wurden H\u00f6rergebnisse, Trommelfellbefund und Schnitt-Naht-Zeiten nach 3\u00a0Wochen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Bei endoskopisch gef\u00fchrten Ohroperationen war der Zugang meistens transmeatal und musste seltener als bei mikroskopisch durchgef\u00fchrten Operationen die Geh\u00f6rgangsvorderwand zur\u00fcckgeschliffen werden. Die Operationszeiten unterschieden sich in den 2\u00a0Gruppen statistisch nicht signifikant. Ein Trommelfellverschluss gelang bei 57\/60\u00a0Patienten in der mikroskopischen Gruppe und bei 59\/60 in der endoskopischen Gruppe. Eine H\u00f6rverbesserung wurde in beiden Gruppen erreicht. Die H\u00f6rverbesserung war in den 2\u00a0Gruppen statistisch signifikant nicht unterschiedlich.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerungen<\/jats:title><jats:p>Endoskopische Ohrchirurgie ist eine zeit\u00f6konomische und minimal-invasive Methode und stellt bei vergleichbaren Ergebnissen eine praktikable Alternative zur mikroskopischen Ohrchirurgie dar.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00106-021-01066-5","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T15:03:11Z","timestamp":1623682991000},"page":"811-816","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Schnitt-Naht-Zeiten bei der endoskopischen Ohrchirurgie","Incision\u2013suture times in endoscopic ear surgery"],"prefix":"10.1007","volume":"69","author":[{"given":"S.","family":"Preyer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"1066_CR1","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1002\/lary.26802","volume":"128","author":"MS Cohen","year":"2018","unstructured":"Cohen\u00a0MS, Razan\u00a0AB, Barber\u00a0SR, Kozin\u00a0ED, Rivas\u00a0AC, Lee\u00a0DJ (2018) Development and validation of an endoscopic ear surgery classification system. 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F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}