Laryngo- rhino- otologie
-
Laryngo- rhino- otologie · Aug 2005
Comparative Study[Reimbursement of patients with high costs in a department of otorhinolaryngology of maximum care and refinancing by the German DRG system].
With the introduction of a diagnosis related groups (DRG)-system in Germany, the medical analysis of the total costs of caring for a given patient is of significance. The medical identification of cost intensive patients becomes of increasing importance for the financial perspective of a department, because the averaged lump sum system might not break even these treatments. ⋯ The assignment of treatment costs to a DRG is complex. Based on our data extensive surgeries for head and neck malignancies showed a homogeneous cost distribution in the DRG group of G-DRG 2004 which was however inadequately reimbursed. Detailed prospective analyses from multiple centers to identify expensive treatments in the field of otorhinolaryngology are necessary to incorporate modifications into the German DRG-system.
-
The purpose of this article is a retrospective analysis of cases with suspected laryngeal trauma. The clinical importance, possibilities and limits of computertomographic diagnostics in laryngeal trauma are discussed. ⋯ High resolution spiral computed tomography is the method of choice to detect or exclude laryngeal fractures after an isolated neck trauma. Special parameters are necessary for detection of subtle pathological findings. In the estimation of mucosal or vocal cord changes the CT is inferior to endoscopy.