{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:12:07Z","timestamp":1788999127067,"version":"build-2803163510"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T00:00:00Z","timestamp":1694736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T00:00:00Z","timestamp":1694736000000},"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":[[2023,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Etwa ein Sechstel der Bev\u00f6lkerung westlicher Industrienationen leidet unter chronischem subjektivem Tinnitus, der allein in Deutschland volkswirtschaftliche Behandlungs- und Folgekosten von fast 22\u202fMrd.\u202f\u20ac pro Jahr verursacht. Nach der vorherrschenden Auffassung entsteht Tinnitus als Folge eines durch H\u00f6rverlust ausgel\u00f6sten maladaptiven neurophysiologischen Prozesses im Gehirn.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Mit dem hier vorgelegten Erlanger Modell der Tinnitusentstehung wird ein umfassender neurophysiologischer Erkl\u00e4rungsansatz f\u00fcr das initiale Auftreten des Phantomger\u00e4uschs nach H\u00f6rverlust vorgeschlagen. Auf der Grundlage des Modells wird eine neue Behandlungsstrategie entwickelt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Das hier zusammenfassend vorgestellte Modell beruht auf verschiedenen tier- und humanphysiologischen Untersuchungen der letzten Jahre.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Das Erlanger Modell betrachtet subjektiven Tinnitus als Nebeneffekt eines physiologischen Mechanismus, der die Informations\u00fcbertragung in das auditorische System mittels stochastischer Resonanz (SR) auch im gesunden H\u00f6rsystem permanent optimiert. Tats\u00e4chlich h\u00f6ren h\u00f6rgesch\u00e4digte Patienten mit Tinnitus im Mittel besser also solche ohne Tinnitus. Diese ungewohnte Perspektive auf das Phantomperzept kann betroffenen Patienten bereits dabei helfen, besser mit ihrem Leiden zurechtzukommen. Zus\u00e4tzlich wurde, basierend auf dem Modell, als neue, individuell angepasste Behandlungsstrategie f\u00fcr tonalen Tinnitus die \u201elow-intensity noise tinnitus suppression\u201c (LINTS) entwickelt und bereits erfolgreich an Patienten getestet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>M\u00f6glicher limitierender Faktor f\u00fcr Modell und Behandlungsstrategie ist die Tonh\u00f6he des Tinnitusperzepts, die es f\u00fcr Frequenzen \u00fcber rund 5\u202fkHz n\u00f6tig machen k\u00f6nnte, Anpassungen an der Behandlungsstrategie vorzunehmen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-023-01355-1","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T16:01:57Z","timestamp":1694793717000},"page":"662-668","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Erlanger Modell der Tinnitusentstehung\u00a0\u2013 Perspektivwechsel und neue Behandlungsstrategie","The Erlangen model of tinnitus development\u2014New perspective and treatment strategy"],"prefix":"10.1007","volume":"71","author":[{"given":"Holger","family":"Schulze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Schilling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Krauss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantin","family":"Tziridis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,9,15]]},"reference":[{"key":"1355_CR1","doi-asserted-by":"publisher","first-page":"271","DOI":"10.3109\/03005368509078983","volume":"19","author":"A Axelsson","year":"1985","unstructured":"Axelsson\u00a0A, Sandh\u00a0A (1985) Tinnitus in noise-induced hearing loss. 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