{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:49Z","timestamp":1740126769366,"version":"3.37.3"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund\u2002Die chirurgische Versorgung mit einem H\u00f6rimplantat und Epithesen bei Ohrmissbildungen bietet eine gute Kombination aus H\u00f6rrehabilitation und kosmetischer Rekonstruktion. Oft wird die Versorgung in 2-zeitigen Operationsschritten durchgef\u00fchrt. Ziel der Arbeit war es, Erfahrungswerte mit einem Vorgehen zu gewinnen, bei dem das H\u00f6rimplantat und die Epithesenanker simultan eingesetzt werden.<\/jats:p><jats:p>\n          Material und Methoden\u2002Vier Ohren von 3 Patienten (nw\u200a=\u200a1, nm\u200a=\u200a2) mit gro\u00dfen Ohrmissbildungen (Typ III nach Weerda) erhielten jeweils in einer Operation eine MedEL Bonebridge und einen Epithesenanker mit 3 Basispfosten. Zuvor war die Indikation mithilfe des Active Middle Ear Implant (aMEI)-Scores nach Frenzel (2013) gestellt worden.<\/jats:p><jats:p>\n          Ergebnisse\u2002Alle Patienten erzielten jeweils 4 Punkte im aMEI-Score, was auf eine ung\u00fcnstige Prognose f\u00fcr eine erfolgreiche Implantation eines aktiven Mittelohrimplantats hinwies. Die Versorgung mit der Bonebridge und einem Epithesenanker konnte daraufhin komplikationslos durchgef\u00fchrt werden. Postoperativ erfolgten nach 4 Wochen die audiologische Erstanpassung und die Best\u00fcckung mit Magneten. In der Audiometrie bestand ein funktioneller Gewinn von bis zu 30\u200adB sowie ein verbessertes Sprachverst\u00e4ndnis. Die Epithese wurde dem gesunden Ohr nachgebildet. Nach der Versorgung waren die Patienten mit dem audiologischen und kosmetischen Ergebnis zufrieden.<\/jats:p><jats:p>\n          Schlussfolgerungen\u2002Das simultane chirurgische Vorgehen mit einem H\u00f6rimplantat und Epithesenankern stellt eine gute Option in der Versorgung von Ohrmissbildungen dar. Der aMEI-Score war ein hilfreiches Instrument zur Indikationsstellung. Durch das Vorgehen konnten das Operationsrisiko und der Aufwand der Versorgung reduziert werden.<\/jats:p>","DOI":"10.1055\/a-1369-9530","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T23:43:19Z","timestamp":1613086999000},"page":"882-888","source":"Crossref","is-referenced-by-count":3,"title":["Simultane Implantation von Epithesenankern und Bonebridge zur\u00a0Versorgung gro\u00dfer Ohrmissbildungen"],"prefix":"10.1055","volume":"100","author":[{"given":"Eva","family":"Wickert","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenkrankheiten, plastische und \u00e4sthetische Operationen, Direktor: Prof.\u00a0Dr.\u00a0med. Dr. h.\u200ac. R. Hagen, Univ.-Klinik W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Kurz","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenkrankheiten, plastische und \u00e4sthetische Operationen, Direktor: Prof.\u00a0Dr.\u00a0med. Dr. h.\u200ac. R. Hagen, Univ.-Klinik W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Voelker","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Hals-, Nasen- und Ohrenkrankheiten, plastische und \u00e4sthetische Operationen, Direktor: Prof.\u00a0Dr.\u00a0med. Dr. h.\u200ac. R. 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