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In Deutschland wird sie kontrovers diskutiert und unterschiedlich angewendet. Daher erfolgte eine Umfrage zu Angebot, Indikationen, Kontraindikationen und zum zuk\u00fcnftigen Stellenwert der EES.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>An 141 deutsche Universit\u00e4ts- und Hauptabteilungen f\u00fcr HNO-Heilkunde, Kopf- und Halschirurgie wurde ein Fragebogen mit 20\u00a0Fragen versendet. Die Ergebnisse wurden anhand aktueller Literatur gem\u00e4\u00df Suche in PubMed und Google Scholar er\u00f6rtert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Der Umfrager\u00fccklauf betrug 32\u202f% (45\u00a0Kliniken). Die EES meist flankierend durchzuf\u00fchren, gaben 27\u00a0Kliniken (60\u202f% der Antwortenden) an. Nur eine Klinik f\u00fchrte alle Ohreingriffe ausschlie\u00dflich endoskopisch durch. Bei Auftreten intraoperativer Blutungen, Bohrarbeiten am Mastoid oder bei Notwendigkeit bimanuellen Arbeitens wurde zur mikroskopischen Technik (\u201emicroscopic ear surgery\u201c, MES) gewechselt. Als h\u00e4ufigste Indikationen f\u00fcr die EES wurden Tympanoskopie, Cholesteatom, Retraktionstasche, Eingriffe am Trommelfell und am Geh\u00f6rgang angegeben. Der Aufwand bei der EES wurde in rund 50\u202f% aller Antworten h\u00f6her als in der MES eingesch\u00e4tzt. Bei den EES-Kliniken dominierte mit 78\u202f% der Tragusknorpel als rekonstruktives Transplantat. Nur 4\u00a0von 45\u00a0antwortenden Kliniken sch\u00e4tzten den zuk\u00fcnftigen Stellenwert der EES in Deutschland als hoch ein.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die EES wird in Deutschland zwar eingesetzt, jedoch nur in wenigen HNO-Kliniken in gr\u00f6\u00dferem Umfang angewendet. Als problematisch gelten das einh\u00e4ndige Arbeiten, die Durchf\u00fchrung von Bohrarbeiten, Beherrschung von Blutungen und der insgesamt als h\u00f6her eingesch\u00e4tzte Aufwand. H\u00e4ufig wird deshalb die EES flankierend am Ohr angewendet und zwischen EES und MES gewechselt.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-021-01094-1","type":"journal-article","created":{"date-parts":[[2021,8,20]],"date-time":"2021-08-20T16:04:24Z","timestamp":1629475464000},"page":"779-790","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Endoskopische Ohrchirurgie in Deutschland"],"prefix":"10.1007","volume":"69","author":[{"given":"Parwis","family":"Agha-Mir-Salim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Kropp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,20]]},"reference":[{"issue":"4","key":"1094_CR1","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1177\/0194599817726982","volume":"157","author":"L Anschuetz","year":"2017","unstructured":"Anschuetz\u00a0L, Bonali\u00a0M, Guarino\u00a0P, Fabbri\u00a0FB, Alicandri-Ciufelli\u00a0M, Villari\u00a0D, Caversaccio\u00a0M, Presutti\u00a0L (2017) Management of bleeding in exclusive endoscopic ear surgery: pilot clinical experience. 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