{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:34:11Z","timestamp":1783442051859,"version":"3.54.6"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Bereits 2021 wurde berichtet, dass die COVID-19-Pandemie das Auftreten akuter Mastoiditiden bei Kindern beeinflusst. Das Ziel dieser multizentrischen, \u00fcberregionalen Studie war es, einen pr\u00e4-, peri- und postpandemischen Datensatz zu erheben und zu analysieren.<\/jats:p>\n                  <jats:p>Es wurden Fallh\u00e4ufigkeiten aus 6 Bereichen erfragt: Epidemiologie, Anamnese, Erregerspektrum, Krankheitsverlauf, Therapie und Bildgebung. Neun HNO-Kliniken in Deutschland berichteten \u00fcber einen 6-Jahres-Zeitraum von 2018\u20132024.<\/jats:p>\n                  <jats:p>Es zeigten sich 251 akute Mastoiditisnotf\u00e4lle. Pr\u00e4pandemisch traten 69, pandemisch 31 und postpandemisch 151 F\u00e4lle auf, 100 weibliche und 151 m\u00e4nnliche. Bei den Allgemeinsymptomen trat Fieber (160) am h\u00e4ufigsten auf, bei den ohrspezifischen die retroaurikul\u00e4ren Symptome (633). Das Erregerspektrum war schmal, nur in 21 von 240 mikrobiologischen Untersuchungen (8,8%) wurden andere als die 4 zur Auswahl stehenden Erreger vorgefunden. Bei 42,2% der Mastoiditispatienten wurde einzig ein CT-Felsenbein durchgef\u00fchrt, eine operative Therapie in 223 F\u00e4llen. Komplikationen, operative Therapie sowie Erregerspektrum zeigten keine signifikanten Ver\u00e4nderungen der Anteile.<\/jats:p>\n                  <jats:p>Es zeigte sich postpandemisch mehr als eine Verdopplung der pr\u00e4pandemischen Fallzahl p\u00e4diatrischer akuter Mastoiditiden. Die chirurgische Behandlung in Kombination mit einer Antibiose war in 90% die Therapie der Wahl. Im Verlauf der Pandemie zeigte sich keine Ver\u00e4nderung des Erregerspektrums, des klinischen Erscheinungsbildes, der Komplikationen sowie der Epidemiologie.<\/jats:p>","DOI":"10.1055\/a-2643-5968","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T23:05:06Z","timestamp":1753398306000},"page":"93-103","source":"Crossref","is-referenced-by-count":1,"title":["Einfluss der COVID-19-Pandemie auf die akute Mastoiditis bei Kindern \u2013 eine multizentrische Studie"],"prefix":"10.1055","volume":"105","author":[{"given":"Ioana","family":"Brill","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, St. Elisabeth Hospital, Ruhr-Universit\u00e4t Bochum, Ruhr-Universit\u00e4t Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Wehling","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, St. Elisabeth Hospital, 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