{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:51Z","timestamp":1740126771242,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Einleitung Die Versorgung von Patienten mit chronischer Mittelohrentz\u00fcndung oder vorliegender Radikalh\u00f6hle mit einem Cochlea-Implantat (CI) ist eine besondere Herausforderung. Die subtotale Petrosektomie (STP) stellt eine M\u00f6glichkeit dar, das Vorgehen sicherer zu machen.<\/jats:p><jats:p>\n               Material und Methoden Es handelt sich um eine retrospektive Untersuchung von Patienten, die vor ihrer CI-Versorgung eine STP erhalten haben.<\/jats:p><jats:p>\n               Ergebnisse Es wurden 25 Patienten eingeschlossen, bei denen insgesamt 26-mal meist 2-zeitig eine STP in der Regel etwa 6 Monate vor der CI-Operation erfolgte. Die Mehrheit der Patienten hatte eine chronische Mittelohrentz\u00fcndung oder eine vorbestehende Radikalh\u00f6hle; bei einem Patienten zwang eine komplexe Felsenbeinfraktur mit Zerst\u00f6rung des \u00e4u\u00dferen Geh\u00f6rgangs zu dieser Methode. Nach der STP beobachteten wir 3-mal eine Wundheilungsst\u00f6rung am Verschluss des \u00e4u\u00dferen Geh\u00f6rgangs sowie eine Nachblutung an der Entnahmestelle des Bauchfetts in 2 F\u00e4llen. Alle Patienten konnten implantiert werden. Ein Rezidvcholesteatom ist bislang nicht aufgetreten.<\/jats:p><jats:p>\n               Schlussfolgerung Mit dieser Vorgehensweise ist eine CI-Versorgung auch bei simultan bestehender Otitis media chronica oder vorliegender Radikalh\u00f6hle m\u00f6glich. Wir favorisieren ein 2-zeitiges Vorgehen, wobei eine simultane STP und CI-OP auch vertretbar ist.<\/jats:p>","DOI":"10.1055\/a-1675-3277","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T23:55:56Z","timestamp":1637366156000},"source":"Crossref","is-referenced-by-count":0,"title":["Der Stellenwert der subtotalen Petrosektomie im Rahmen der Cochlea Implantation"],"prefix":"10.1055","author":[{"given":"Peter Rolf","family":"Issing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Klinikum Bad Hersfeld GmbH, Bad Hersfeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srebrena","family":"Atanasova-Koch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Klinikum Bad Hersfeld GmbH, Bad Hersfeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Schneider","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Klinikum Bad Hersfeld GmbH, Bad Hersfeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9433-8306","authenticated-orcid":false,"given":"Christian","family":"Issing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Universit\u00e4tsklinikum Frankfurt, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"S123","DOI":"10.3205\/cto000143","article-title":"Cochlear Implant \u2013 State of the Art","volume":"96","author":"T Lenarz","year":"2017","journal-title":"Laryng Rhinol Otol"},{"key":"ref2","first-page":"690","article-title":"Cochlea Implantation. 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