{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T05:50:27Z","timestamp":1746510627771},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T00:00:00Z","timestamp":1692489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T00:00:00Z","timestamp":1692489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum des Saarlandes und Medizinische Fakult\u00e4t der Universit\u00e4t des Saarlandes"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die vorliegende Arbeit berichtet \u00fcber die Integration der endoskopischen Ohrchirurgie (EES) in den klinischen Alltag.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>In einer monozentrischen prospektiven Studie wurde \u00fcber 10\u00a0Monate in geraden Wochen die Endoskopieeinheit zur Ohroperation mit aufgebaut und der Eingriff prim\u00e4r endoskopisch \u00fcber einen transmeatalen Zugang begonnen. In ungeraden Wochen wurde auf das Endoskop verzichtet. Ausgewertet wurden 60\u00a0Eingriffe bei 59\u00a0PatientInnen. Vergleichspunkte waren die intraoperative Sicht, die Schnitt-Naht-Zeit, das postoperative H\u00f6rergebnis sowie der postoperative otoskopische Befund.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Mit Ausnahme des Nervus facialis (<jats:italic>p<\/jats:italic>\u202f=\u20090,15 Mann-Whitney-U-Test) zeigte sich eine signifikant verbesserte Visualisierung aller Bereiche des Mittelohrs bei der EES. Die Schnitt-Naht-Zeiten waren im Methodenvergleich \u00e4hnlich. Sofern eine bimanuelle Platzierung von Ossikelprothesen notwendig war, verl\u00e4ngerte sich die Schnitt-Naht-Zeit \u00fcberproportional (MES: 57,18\u202f\u00b1\u20099,7\u202fmin, EES: 76,83\u202f\u00b1\u200924,99\u202fmin; <jats:italic>p<\/jats:italic>\u202f=\u20090,019, signifikant da <jats:italic>p<\/jats:italic>\u202f&lt;\u202f0,05). Statistisch signifikante \u00c4nderungen bezogen auf die H\u00f6rergebnisse ergeben sich bei Vergleich der EES mit der mikroskopischen Technik nicht. In der Gruppe der EES-Operationen zeigten sich keine postoperativen Komplikationen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die endoskopische Operationstechnik hat sich an einem realen Patientenkollektiv an unserem Standort bew\u00e4hrt.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-023-01348-0","type":"journal-article","created":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T22:01:38Z","timestamp":1692568898000},"page":"787-794","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Erfahrungen mit der endoskopischen Ohrchirurgie an einer deutschen Hals\u2011, Nasen\u2011, Ohrenklinik der Maximalversorgung","Experiences with endoscopic ear surgery of a German tertiary hospital for otolaryngology"],"prefix":"10.1007","volume":"71","author":[{"given":"Veronika","family":"Flockerzi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Schick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Bozzato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,8,20]]},"reference":[{"key":"1348_CR1","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1007\/s00106-021-01094-1","volume":"69","author":"P Agha-Mir-Salim","year":"2021","unstructured":"Agha-Mir-Salim\u00a0P, Kropp\u00a0M, M\u00fcller\u00a0A (2021) Endoskopische Ohrchirurgie in Deutschland: Umfrage zur aktuellen Situation im internationalen Vergleich. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Die korrespondierende Autorin hatte vollen Zugang zu allen Daten der Studie und \u00fcbernimmt die Verantwortung f\u00fcr die Integrit\u00e4t der Daten und die Genauigkeit der Datenanalyse sowie f\u00fcr die Entscheidung, die Erhebung zur Ver\u00f6ffentlichung einzureichen.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}