{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:15Z","timestamp":1787004855890,"version":"build-2736575974"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ohrger\u00e4usche als subjektive, individuelle Empfindung entziehen sich einem objektiven Nachweis. In der Begutachtungssituation sind sie zudem von physiologischen oder spontanen H\u00f6rsensationen abzugrenzen.<\/jats:p>\n                  <jats:p>In Bezug auf die neue K\u00f6nigsteiner Empfehlung und auf die Rechtsprechung des letzten Jahres ist vor dem Hintergrund der unterschiedlichen Kausalit\u00e4tsbegriffe in der Gesetzlichen und Privaten Unfallversicherung eine stringente Pr\u00fcfung zur Feststellung, ob eine ausreichend hohe Wahrscheinlichkeit eines unfallbedingten subjektiven Ohrger\u00e4usches vorliegt, bei\u00a0der Begutachtung erforderlich. Um eine nachvollziehbare und vergleichbare Grundlage zu schaffen, wurde der Vorschlag einer Plausibilit\u00e4tspr\u00fcfung mit der Erfassung von 5 Kriterien \u2013 angemessenes Ereignis, Unmittelbarkeit, Reproduzierbarkeit auf der Basis der heutigen Untersuchungsmethoden von Tinnitus-Masking und -Matching, Fortdauer und Fixierung und die Erfassung mit nichtsuggestiven Fragen \u2013 einer \u00dcberpr\u00fcfung unterzogen.<\/jats:p>\n                  <jats:p>Die \u00dcbersichtsarbeit zeigt, dass sich die Anforderungen an den jeweiligen Beweisma\u00dfstab mit den angegebenen Nachweisschritten erf\u00fcllen lassen. Die einfache M\u00f6glichkeit des Vorliegens von Ohrger\u00e4uschen kann \u00fcber die Plausibilit\u00e4tskriterien, die psychoakustische Verfahren beinhalten, sowie offene Fragen systematisch zur Wahrscheinlichkeit des Vorliegens gef\u00fchrt werden. Damit sind die Voraussetzungen f\u00fcr eine nachvollziehbare Kausalbetrachtung zwischen Ereignis und angegebenen Tinnitus nach aktuellen medizinisch-wissenschaftlichen Erkenntnissen geschaffen.<\/jats:p>","DOI":"10.1055\/a-1502-6935","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T18:46:46Z","timestamp":1630349206000},"page":"698-706","source":"Crossref","is-referenced-by-count":7,"title":["Ohrger\u00e4usche zutreffend begutachten: M\u00f6glichkeit, Plausibilit\u00e4t und Wahrscheinlichkeit"],"prefix":"10.1055","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4289-5693","authenticated-orcid":false,"given":"Olaf","family":"Michel","sequence":"additional","affiliation":[{"name":"KNO, Universitair Ziekenhuis Brussel UZB, Vrije Universiteit Brussel, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1017\/S1755146300090041","article-title":"Epidemiology of tinnitus: (1) prevalence","volume":"9","author":"R RA Coles","year":"1984","journal-title":"J Laryngol Otol Suppl"},{"key":"ref2","first-page":"64","volume-title":"Tinnitus in the Federal Republic of Germany: A representative epidemiological study","author":"M Pilgramm","year":"1999"},{"key":"ref3","first-page":"185","article-title":"Experience with a medicolegal decision-making system for occupational hearing loss-related tinnitus","volume":"15","author":"P H Dejonckere","year":"2009","journal-title":"International Tinnitus Journal"},{"key":"ref4","first-page":"73","article-title":"lnvalidit\u00e4tsgrade in der Bewertung von Tinnitus als K\u00f6rperschaden in der privaten Unfallversicherung","volume":"59","author":"O Michel","year":"2007","journal-title":"Versicherungsmedizin"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1055\/s-0029-1220715","article-title":"Die Bewertung von Tinnitus in der gesetzlichen Unfallversicherung","volume":"88","author":"T Brusis","year":"2009","journal-title":"Laryngo-Rhino-Otol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1055\/s-2005-870349","article-title":"Zur Beurteilung von Tinnitus in der privaten Unfallversicherung","volume":"85","author":"O Michel","year":"2006","journal-title":"Laryngo-Rhino-Otol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1055\/s-2006-944943","article-title":"Zur Bewertung von Tinnitus in der privaten Unfallversicherung","volume":"86","author":"O Michel","year":"2007","journal-title":"Laryngo-Rhino-Otol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1097\/MAO.0000000000002116","article-title":"Objective measures of tinnitus: a systematic review","volume":"40","author":"R Jackson","year":"2019","journal-title":"Otology & Neurotology"},{"key":"ref9","volume-title":"Das Gutachten des Hals-Nasen-Ohren-Arztes","author":"H Feldmann","year":"2006","edition":"7. 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