{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:49:56Z","timestamp":1774010996637,"version":"3.50.1"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Martin-Luther-Universit\u00e4t Halle-Wittenberg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die simultane Versorgung mit der Bonebridge (MED-EL, Innsbruck, \u00d6sterreich), einem teilimplantierbaren, aktiven transkutanen Knochenleitungsh\u00f6rger\u00e4t, sowie mit Ankern f\u00fcr Ohrepithesen kann eine Herausforderung darstellen, da beide Implantate Magnete enthalten und um ein begrenztes Areal im vorgesehenen Implantationsgebiet konkurrieren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Die Bestimmung der optimalen Implantatposition f\u00fcr den Massenschwingers (\u201efloating mass transducer\u201c, FMT) und die Epithesenanker erfolgte mittels einer Software zur 3\u2011dimensionalen (3D-)Planung (\u201evirtuelle Chirurgie\u201c) anhand individueller 3D-Computermodelle der Sch\u00e4del und der Implantate. Die Interaktion zwischen den magnetischen Epithesenankern und dem FMT wurde mittels statischer Magnetkr\u00e4fte gemessen. In einer retrospektiven Datenanalyse wurden chirurgische und audiologische Ergebnisse evaluiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Zwischen den Jahren 2014 und 2021 wurde an 6\u00a0Ohren bei 5\u00a0Patienten (m\u00e4nnlich: <jats:italic>n<\/jats:italic>\u202f=\u20093, weiblich: <jats:italic>n<\/jats:italic>\u202f=\u20092, Alter: 17\u201356\u00a0Jahre) die 3D-Planung einer simultanen Implantation der Bonebridge und von Ohrepithesenankern durchgef\u00fchrt. Die individuelle pr\u00e4operative Planung war hinsichtlich der optimalen Platzierung von Epithesenankern in Kombination mit der Bonebridge \u00e4u\u00dferst hilfreich. Audiologisch zeigte sich 3\u00a0Monate und &gt;\u202f11\u00a0Monate postoperativ ein klarer Nutzen. Es konnten keine Interaktionen zwischen den magnetischen Epithesenankern und dem FMT nachgewiesen werden. Bei 2\u00a0Patienten musste aufgrund einer Wundinfektion bzw. aufgrund von Wundheilungsst\u00f6rungen eine Revisionsoperation erfolgen. Es wurden keine Langezeitkomplikationen (3\u20135\u00a0Jahre postoperativ) beobachtet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die pr\u00e4operative 3D-Planung stellt einen deutlichen Nutzen bei der simultanen audiologischen und \u00e4sthetischen Rehabilitation mithilfe der Bonebridge und Ohrepithesenankern dar.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-022-01189-3","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T13:04:11Z","timestamp":1659531851000},"page":"365-374","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Individuelle computergest\u00fctzte 3D-Planung zur Platzierung von Epithesenankern in Kombination mit einem implantierbaren transkutanen Knochenleitungsh\u00f6rger\u00e4t bei Patienten mit Ohrfehlbildungen","Individual computer-assisted 3D planning for placement of auricular prosthesis anchors in combination with an implantable transcutaneous bone conduction hearing device in patients with aural atresia. 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Die Studie wurde ausschlie\u00dflich durch intramurale Forschungsmittel unterst\u00fctzt. Au\u00dferhalb dieser Arbeit werden folgende finanzielle Aktivit\u00e4ten offengelegt: S.K.\u00a0Plontke macht folgende Angaben: Beratungst\u00e4tigkeit f\u00fcr AudioCure, Pharma GmbH, Deutschland; Institutionelle Forschungskooperationen und -projekte mit MED\u2011EL, \u00d6sterreich; Cochlear, Australien; OticonMedical, D\u00e4nemark und Reiseunterst\u00fctzung f\u00fcr Vortr\u00e4ge von MED\u2011EL, \u00d6sterreich sowie Honorar f\u00fcr Vortr\u00e4ge oder Moderationen von Infectopharm, Germany; Merck Serono, Deutschland; Schwabe Arzneimittel, Deutschland. T.\u00a0Rahne macht folgende Angaben: Institutionelle Forschungskooperationen und -projekte mit MED\u2011EL, \u00d6sterreich; Cochlear, Australien; OticonMedical, D\u00e4nemark und Reiseunterst\u00fctzung f\u00fcr Vortr\u00e4ge von MED\u2011EL, \u00d6sterreich. I.\u00a0Seiwerth macht folgende Angabe: Reiseunterst\u00fctzung f\u00fcr Vortr\u00e4ge von MED\u2011EL, \u00d6sterreich.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Alle beschriebenen Untersuchungen bzw. retrospektiven Auswertungen am Menschen wurden mit Zustimmung der zust\u00e4ndigen Ethikkommission, im Einklang mit nationalem Recht sowie gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}