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Laryngorhinootologie 2018; 97(08): 563-578
DOI: 10.1055/a-0589-3613
DOI: 10.1055/a-0589-3613
Facharztwissen HNO
Diagnostik und operative Therapie der Otosklerose
Teil 1: Grundlagen, Diagnostik und DifferenzialdiagnostikDiagnosis and operative therapy of otosclerosisPart 1: Basics, Diagnostics and Differential DiagnosisWeitere Informationen
Publikationsverlauf
Publikationsdatum:
06. August 2018 (online)
Zusammenfassung
Die Otosklerose ist eine für den HNO-Arzt/Ärztin wichtige, oft in (Differenzial-)Diagnostik und Therapie anspruchsvolle Erkrankung. Wenngleich bis heute eine kausale Therapieoption nicht besteht, kann bei richtiger Diagnosestellung eine operative oder apparative Hörrehabilitation mit sehr hohen Erfolgschancen in Aussicht gestellt werden.
Abstract
Otosclerosis is an important condition for the otorhinolaryngologist, and often in (differential) diagnosis and therapy challenging disease. Although a causal therapy option does not exist until today, if the diagnosis is correct, an operative or apparative hearing rehabilitation with very high chances of success can be promised. In addition to hearing aids surgical treatment with passive implants as a standard therapy, and in special cases also the implantation of active middle ear implants or cochlear implants, in advanced otosclerosis with significant involvement of the inner ear, are of importance. Knowledge of the definition, pathogenesis, diagnostics and in particular of the differential diagnosis as well as the current conservative and operative therapeutic limits are indispensable for the indication and selection of the optimal treatment path.
In a two-part presentation, the current specialist medical knowledge of the disease in diagnosis and therapy is summarized. In addition to modern diagnostic procedures, aspects of therapy and prognosis are considered in a second article. This article therefore primarily refers to continuing education for residents in training and for young specialists.
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