Laryngo-rhino-otologie最新文献

Acupuncture has its origin in the traditional Chinese medicine and has been used for over 4000 years. By applying acupuncture needles to specific points on the body, according to the foraminology, the flow of Qi in the meridians is harmonized, thereby preventing the onset of diseases or treat diseases.Are there evidence-based data on acupuncture, and what are the underlying standards of the studies?A literature research was conducted using PubMed (Medline). Publications related to the topic were searched and further narrowed down by focusing on randomized, clinical, and controlled studies according to GCP guidelines, published in English language.After applying the criteria mentioned above, 60 studies related to acupuncture in ENT remained from a total 47,741 studies. After validation, the remaining studies were presented in detail.From 2005 to 2025, more than 87% of all publications in this field were released, indicating a current interest in the topic. A review of the scientific works revealed, that the research on acupuncture therapy includes not only clinical studies but also basic research to examine the effectiveness of acupuncture and the underlying mechanisms of action, with promising approaches emerging. However, it remains questionable if the term evidence-based study can be applied, as the choice of the control group raises many issues. Are there really ineffective acupuncture points and is double blinding possible? Ultimately, the control group is the criterion where the evidence currently (still) falls short.

Wound care in the head and neck region is particularly challenging due to its complex anatomy, functional significance, and aesthetic requirements. A careful approach that considers systemic and local factors, as well as consistent wound care, are crucial for healing with minimal complications. Traumatic, iatrogenic, and chronic wounds each require specific strategies, with wound closure, suture technique, and appropriate wound dressings significantly influencing success. Difficult wounds, such as those following bite injuries or complex postoperative defects, benefit from an interdisciplinary, individualized approach. This case report of a pharyngocutaneous fistula illustrates that conventional surgical procedures are not always sufficient. In addition, combined endo- and external NPWT can be a helpful option under certain conditions to promote granulation formation and support wound closure, although it is not yet standard practice. Future developments will be characterized by digital documentation, standardized follow-up, bioactive wound dressings, and regenerative procedures. The goal remains to shorten healing times, reduce complications, and optimize function and cosmetic outcomes. Overall, the article underscores the importance of an interdisciplinary and individualized approach that combines proven methods with innovative techniques to meet the complex requirements of complex wound care in the head and neck region.

Diseases of the trachea are rare, while other diseases associated with shortness of breath and pulmonary symptoms are common, which is why the necessary diagnosis and therapy are regularly delayed. At the same time, diseases range from simple scarring stenosis to extensive tumour disease. Patients may be otherwise healthy, suffer from autoimmune disease, or have severe general illnesses, as in tracheotomised patients. Therefore, history and clinical examination provide very important clues to a disease of the trachea. Subsequent diagnostics should be ordered in a reasonable manner and lead to the correct diagnosis and subsequent therapy in a timely manner. Functional, radiological and endoscopic examinations, each with a special focus in experienced hands, avoid duplicate examinations or misinterpretations. Patients are grateful because diseases of the trachea - a central airway that cannot be bypassed - are experienced as life-threatening or at least as severely limiting the quality of life.