{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T10:10:38Z","timestamp":1775211038821,"version":"3.50.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Der klassische Stirnreflektor diente dem HNO-Arzt zur Spiegeluntersuchung und ist heute Mediensymbol f\u00fcr den Arzt. Mit welchen Instrumenten heute in Deutschland HNO-Patienten klinisch untersucht werden, ist nicht bekannt. Es ist daher das Ziel der vorgelegten Untersuchung, dies mithilfe einer Befragung zu ermitteln.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Es erfolgte die Auswertung von 321 Frageb\u00f6gen von klinisch t\u00e4tigen (172) und niedergelassenen (149) HNO-\u00c4rzten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die HNO-Spiegeluntersuchung wird heute mit einer selbstleuchtenden Kopflampe mit Akku und\/oder Lichtleitkabel durchgef\u00fchrt. Etwa 20\u202f% der Antwortenden verwendet auch einen Stirnspiegel. Das Mikroskop wird von 90\u202f% der teilnehmenden HNO-\u00c4rzte zur Untersuchung der Ohren eingesetzt. Ein starres Endoskop benutzen 53,3\u202f% zur Untersuchung des Kehlkopfs, 41\u202f% f\u00fcr den Epipharynx und 35\u202f% f\u00fcr die Nase\/Nasennebenh\u00f6hlen (34,6\u202f%). Flexibles Endoskop und Otoskop werden lediglich fakultativ verwendet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die selbstleuchtende, in den neuen Bundesl\u00e4ndern h\u00e4ufiger kabellose Kopflampe hat den klassischen Stirnreflektor, mit dem seit ca.\u00a020\u00a0Jahren nicht mehr ausgebildet wird, weitgehend verdr\u00e4ngt. Mit gro\u00dfer Regelm\u00e4\u00dfigkeit werden zumindest einzelne Organe auch mit dem Mikroskop oder starren Endoskop untersucht, w\u00e4hrend das flexible Endoskop und Otoskop insgesamt viel seltener, vor allem von J\u00fcngeren und im Krankenhaus T\u00e4tigen, verwendet werden. Das diagnostische Potenzial der flexiblen Endoskopie wird durch die ambulanten Verg\u00fctungsstrukturen in Deutschland m\u00f6glicherweise kompromittiert.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-021-01096-z","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T07:04:04Z","timestamp":1629183844000},"page":"125-132","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Einsatz von Instrumenten bei der klinischen Untersuchung in deutschen HNO-Abteilungen und Privatpraxen heutzutage","Contemporary use of instruments during clinical examination in German ENT departments and private practices"],"prefix":"10.1007","volume":"70","author":[{"given":"Achim M.","family":"Franzen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannes","family":"Sykora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hauptmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annekatrin","family":"Coordes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"key":"1096_CR1","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1017\/S0022215100108680","volume":"103","author":"C Albizzati","year":"1989","unstructured":"Albizzati\u00a0C (1989) Out-patient examination of the upper airway: a\u00a0survey of current practice in the UK. 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Von allen Befragten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}