{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T23:33:58Z","timestamp":1762212838786,"version":"build-2065373602"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Unfallbedingte Innenohrst\u00f6rungen nach Sch\u00e4delkontakten k\u00f6nnen verschiedene Ursachen haben. Die Nutzung der neueren Klassifikation von Felsenbeinfrakturen in \u201eotic capsule sparing\u201c (OCS) und \u201eotic capsule violating\u201c (OCV) ist im Rahmen der Begutachtung sinnvoll. Die vorliegende Bildgebung ist oft unzureichend, und die Auswirkungen von Frakturen der otischen Kapsel werden im Notfallmanagement untersch\u00e4tzt. Daher m\u00fcssen oft indirekte Hinweise (z.\u200aB. H\u00e4matotympanon, Otoliquorrhoe, Fazialisparese) bewertet werden. Auch ohne Frakturnachweis k\u00f6nnen zeitweilige Innenohrsch\u00e4den auftreten, insbesondere durch den Mechanismus des \u201eKnalltraumas\u201c. Typisch sind H\u00f6rst\u00f6rungen mit c5-Senke, teils begleitet von Tinnitus, oder der gutartige Lagerungsschwindel. Persistierende St\u00f6rungen k\u00f6nnen neben Frakturen auch durch Einblutungen im Labyrinth entstehen. Sie werden jedoch im Rahmen der Akutdiagnostik selten erfasst und sind daher schwer kausal nachweisbar. Persistiert \u201eSchwindel\u201c nach einem Sch\u00e4delunfall und verst\u00e4rken sich die Beschwerden, muss an einen anhaltenden subjektiven Schwankschwindel (funktionelles Schwindelsyndrom) gedacht werden. Tinnitus tritt stets in Kombination mit einer strukturell und objektiv nachweisbaren H\u00f6rst\u00f6rung auf.<\/jats:p>","DOI":"10.1055\/a-2646-6613","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T23:30:36Z","timestamp":1762212636000},"page":"731-737","source":"Crossref","is-referenced-by-count":0,"title":["Unfallbedingte Innenohrst\u00f6rungen nach einem\u00a0Sch\u00e4delkontakt \u2013 klinische Aspekte und\u00a0Krankheitsbilder"],"prefix":"10.1055","volume":"104","author":[{"given":"Leif Erik","family":"Walther","sequence":"additional","affiliation":[{"name":"HNO-Gemeinschaftspraxis, Main-Taunus-Zentrum, D-65843 Sulzbach (Taunus)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1055\/a-2541-5730","article-title":"\u00dcberlegungen zu unfallbedingten Innenohrst\u00f6rungen nach einem Sch\u00e4delkontakt","volume":"104","author":"L E Walther","year":"2025","journal-title":"Laryngorhinootologie"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1177\/000348946907800205","article-title":"Mechanism of inner ear injury from blows to the head","volume":"78","author":"H F Schuknecht","year":"1969","journal-title":"Annals of Otology, Rhinology & Laryngology"},{"issue":"02","key":"ref3","first-page":"188","article-title":"Management of complications from 820 temporal bone fractures","volume":"18","author":"H A Brodie","year":"1997","journal-title":"Am J Otol"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/MAO.0000000000003786","article-title":"Improved Prediction of Hearing Loss after Temporal Bone Fracture by Applying a Detailed Classification for Otic Capsule-Violating Fracture: A Wide Scope Analysis with Large Case Series","volume":"44","author":"E Park","year":"2023","journal-title":"Otol Neurotol"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1007\/s12070-023-04145-x","article-title":"Delayed Hearing Recovery After Transverse Temporal Bone Fracture with Otic Capsule violation \u2013 Case Report and Literature Review","volume":"76","author":"M Ostrowska","year":"2024","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1007\/s00106-022-01171-z","article-title":"Begutachtung von traumatischen H\u00f6rsch\u00e4den","volume":"70","author":"T Brusis","year":"2022","journal-title":"HNO"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1055\/s-2007-998609","article-title":"Sp\u00e4tfolgen nach laterobasalen Frakturen. 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