{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T19:46:33Z","timestamp":1780429593770,"version":"3.54.1"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018936","name":"Universit\u00e4tsklinikum Heidelberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018936","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Verschiedene chirurgische Techniken mit transpalatinalen, transseptalen und transnasalen Zug\u00e4ngen zur operativen Therapie der Choanalatresie wurden in den letzten 200 Jahren entwickelt. Die endoskopische endonasale Chirurgie mit dorsaler Septumresektion und ohne Stents ist der aktuelle wissenschaftliche Trend, da so hohe Erfolgsraten mit geringen Komplikationsraten erreicht werden k\u00f6nnen. Diese Studie untersuchte, ob sich diese Technik tats\u00e4chlich fl\u00e4chendeckend in Deutschland durchgesetzt hat und welche Rolle die Anwendung von Stents hierbei spielt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Insgesamt 52\u00a0Hals-Nasen-Ohren(HNO)-Kliniken in Deutschland, davon alle 39\u00a0HNO-Universit\u00e4tskliniken und 13\u00a0nicht-universit\u00e4re HNO-Kliniken der Maximalversorgung, wurden befragt, welche chirurgische Technik sie f\u00fcr die Choanalatresieresektion verwenden und ob Stents zum Einsatz kommen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>F\u00fcr die dorsale Septumresektion gaben 39\u00a0von 44\u00a0antwortenden Kliniken (89\u202f%) an, dorsale Septumteile zu resezieren. Bei den Universit\u00e4tskliniken lag der Anteil bei 85\u202f%, bei den nicht-universit\u00e4ren Kliniken bei 100\u202f%.<\/jats:p>\n                <jats:p>F\u00fcr die Anwendung von Stents gaben 20\u00a0von 48\u00a0antwortenden Kliniken (42\u202f%) an, keine Stents zu verwenden. Bei den Universit\u00e4tskliniken lag der Anteil bei 39\u202f%, bei den nicht-universit\u00e4ren Kliniken bei 50\u202f%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die endoskopische endonasale Choanalatresieresektion mit dorsaler Septumresektion wird in den gro\u00dfen HNO-Kliniken Deutschlands gr\u00f6\u00dftenteils als Standardtechnik verwendet. Die routinem\u00e4\u00dfige Verwendung von Stents ist noch weit verbreitet. Die Reduktion der Stentnutzung in der Choanalatresieversorgung und die Verwendung dieser Methode nur in schwierigen Einzelf\u00e4llen sollte k\u00fcnftiges Ziel sein.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-023-01410-x","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T16:02:41Z","timestamp":1704729761000},"page":"199-203","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Versorgung von Choanalatresien in Deutschland","Choanal atresia repair in Germany"],"prefix":"10.1007","volume":"72","author":[{"given":"Miray-Su","family":"Y\u0131lmaz Top\u00e7uo\u011flu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Hammitsch-Mayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Plinkert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Baumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"1410_CR1","first-page":"e8060","volume":"12","author":"MA Alshareef","year":"2020","unstructured":"Alshareef\u00a0MA, Assalem\u00a0AS, Alzubaidi\u00a0F et al (2020) Surgical management of choanal atresia with intranasal hegar\u2019s dilator and transnasal endoscopic excision: a\u00a020-year retrospective comparative study. 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