Hölzl M, Behrmann R, Biesinger E, von Heymann W, Hülse R, Arens C
HNO-Universitätsklinikum Magdeburg, Magdeburg, Deutschland.
HNO-Zentrum Traunstein, Maxplatz 5, 83278, Traunstein, Deutschland.
HNO. 2018 Mar;66(3):237-250. doi: 10.1007/s00106-018-0479-4.
This paper discusses otorhinolaryngological symptoms associated with functional disorders of the upper cervical spine. Hints aimed to avoid misdiagnoses of cross-organ otorhinolaryngological symptoms as phobic or psychogenic disorders are presented. Clinically relevant neuroanatomical convergence of the upper cervical spine (occiput to C3) is fundamental for the interpretation of functional otorhinolaryngological symptoms. Based thereon, evidence for the most common cervical differential diagnoses of dizziness, tinnitus, dysphagia, and craniomandibular dysfunction is presented separately. The corresponding therapeutic options and their contraindications are discussed in the concluding chapter. The importance of interdisciplinary cooperation in related fields is emphasized.
本文讨论了与上颈椎功能紊乱相关的耳鼻喉科症状。文中给出了一些提示,旨在避免将跨器官的耳鼻喉科症状误诊为恐惧症或精神性疾病。上颈椎(枕骨至C3)在临床上相关的神经解剖学汇聚对于功能性耳鼻喉科症状的解释至关重要。基于此,分别介绍了头晕、耳鸣、吞咽困难和颅下颌功能障碍等最常见的颈椎鉴别诊断证据。在最后一章讨论了相应的治疗选择及其禁忌症。强调了相关领域跨学科合作的重要性。