Laryngo- rhino- otologie
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Laryngo- rhino- otologie · Feb 2011
[Estimation of postoperative pain after tonsillectomy in adults using QUIPS: an instrument to improve postoperative pain management].
Tonsillectomy leads to strong postoperative pain. Pain management often is not optimal after tonsillectomy. To date, there exists no clear guideline for pain management after tonsillectomy. ⋯ QUIPS is a very good tool to evaluate the quality of postoperative pain management in one's own hospital. Next step, a detailed comparison to the best practise of other hospitals participating at QUIPS will follow in order to improve and standardize pain management for adult tonsillectomy patients.
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Laryngo- rhino- otologie · Feb 2011
Review Case Reports[Sensorineural hearing loss after dull head injury or concussion trauma].
A dull head injury can lead to isolated damage of the inner ear (cochlear labyrinthine concussion) or damage of the otolithe organ (vestibular labyrinthine concussion) due to a bone conduction pressure. A typical sign is a high frequency SNHL in form of a c5-dip. The c5-dip can be bilateral or unilateral or different on each side - dependant on the side of injury. ⋯ Moreover a lot of cases also show an accompanying tinnitus. This knowledge is based on animal and human experiments, as well as data from clinical and medical report examinations over decades. It is important to differentiate between a SNHL caused by accident or uni- or bilateral endogenic degenerative hearing loss.
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Laryngo- rhino- otologie · Feb 2011
[The learning curve of registration in navigated skull base surgery].
Computer aided surgery (CAS) is advantageous in challenging procedures in head and neck surgery. It is not clear, if the application of CAS has to be trained to achieve reliable results. The learning curve of the registration of the patient's coordinates to prior acquired radiologic imagery was investigated. ⋯ There is a training effect in CAS interventions. Pair point matching results in sufficient application accuracy after training only.