{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:57Z","timestamp":1740126777303,"version":"3.37.3"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Die Ambulantisierung rhinochirurgischer Eingriffe wird derzeit intensiv diskutiert und insbesondere von politischer Seite stark propagiert. Viele Fragen zur Stratifizierung in ambulante oder station\u00e4re Durchf\u00fchrung sind unklar. Insbesondere ist das Vorgehen bei Anwendung von Nasentamponaden bisher nicht ausreichend diskutiert.<\/jats:p><jats:p>\n            Material und Methoden Deutschlandweite Umfrage unter niedergelassenen und in Kliniken t\u00e4tigen Hals-, Nasen-, Ohren\u00e4rzten zur Verwendung von Nasentamponaden in der Rhinochirurgie und zum Auftreten von Komplikationen in Zusammenhang mit einer Tamponade.<\/jats:p><jats:p>\n            Ergebnisse 85,6% der Antwortenden verwenden eine Nasentamponade zumindest manchmal bei der Chirurgie von Septum und Nasenmuscheln\/lateraler Nasenwand, 44,2% grunds\u00e4tzlich. Bei der Nasennebenh\u00f6hlenchirurgie sind dies 94,1% bzw. 49% der Antwortenden. \u00dcberwiegend wurde die Anwendung von sich nicht aufl\u00f6senden Tamponaden angegeben. Die am h\u00e4ufigsten beobachteten Komplikationen waren eine Blutung unter liegender Nasentamponade (&gt;50% der Antwortenden) und eine Dislokation nach dorsal (24% der Antwortenden), die ein notfallm\u00e4\u00dfiges Eingreifen erforderte. Eine Todesfolge wurde bei 5 Patienten beschrieben. Ein Patient erlitt eine dauerhafte Hirnsch\u00e4digung nach Hypoxie.<\/jats:p><jats:p>\n            Schlussfolgerungen Die Anwendung einer sich nicht aufl\u00f6senden Nasentamponade mit Okklusion der Nasenhaupth\u00f6hle kann zu einer relevanten Gef\u00e4hrdung der Patienten f\u00fchren, die ein notfallm\u00e4\u00dfiges Eingreifen erforderlich macht und deshalb die station\u00e4re \u00dcberwachung erfordert.<\/jats:p>","DOI":"10.1055\/a-2351-1500","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T22:43:24Z","timestamp":1727736204000},"page":"779-787","source":"Crossref","is-referenced-by-count":1,"title":["Umfrage zum Einsatz von Nasentamponaden in der sinunasalen Chirurgie"],"prefix":"10.1055","volume":"103","author":[{"given":"Rainer K.","family":"Weber","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, St\u00e4dtisches Klinikum Karlsruhe, Karlsruhe, Germany"},{"name":"Sinus Academy, 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