Morgenstern Joseph, Neudert Marcus, Zahnert Thomas, Lailach Susen
Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universitätsklinikum "Carl-Gustav-Carus" an der Technischen Universität Dresden, Fetscherstraße 74, Haus 5, 01307, Dresden, Germany.
HNO. 2025 Jun 25. doi: 10.1007/s00106-025-01557-9.
Diagnostic testing prior to ear surgery is an important part of the work of ear specialists in hospitals. To date, there is no national or international diagnostic standard. Rather, the test batteries used are dependent on hospitals' own doctrinal opinions.
The aim of this study was to conduct a survey in German-speaking countries to determine the routine diagnostic methods used prior to various ear surgery procedures.
An online questionnaire with 18 general questions on the hospital's equipment and availability of tests and 6 questions on specific ear operations was sent to the departmental directors.
Of the 180 hospitals contacted, 56 (31%) took part in the survey. For eight specific operations (rehabilitative ear surgery with and without cholesteatoma, hearing-improving surgery, stapes surgery, ear canal stenosis surgery, ear canal atresia surgery, implantation of active middle ear implants, and cochlear implant surgery), the test batteries most commonly used in German-speaking countries could be determined. It was found that the majority of clearly defined diagnostic batteries are implemented in the hospital's own diagnostic steps. In German-speaking countries, neuro-otological diagnostics are preferably carried out before treatment with hearing implants, but are of only minor importance for middle ear surgery in German-speaking hospitals.
There is inhomogeneity regarding diagnostic pathways in ear surgery in German-speaking countries. The results of this survey provide a further basis for discussion concerning the development of a diagnostic standard, which is to be developed in corresponding guidelines and consensus papers.
耳部手术前的诊断测试是医院耳科专家工作的重要组成部分。迄今为止，尚无国家或国际诊断标准。相反，所使用的测试组合取决于医院自身的理论观点。
本研究旨在在德语国家进行一项调查，以确定各种耳部手术前使用的常规诊断方法。
向科室主任发送了一份在线问卷，其中包括18个关于医院设备和测试可用性的一般问题以及6个关于特定耳部手术的问题。
在联系的180家医院中，56家（31%）参与了调查。对于八种特定手术（有无胆脂瘤的耳部修复手术、听力改善手术、镫骨手术、耳道狭窄手术、耳道闭锁手术、有源中耳植入物植入和人工耳蜗植入手术），可以确定德语国家最常用的测试组合。结果发现，大多数明确界定的诊断组合都在医院自身的诊断步骤中实施。在德语国家，神经耳科学诊断最好在听力植入物治疗前进行，但在德语医院的中耳手术中重要性较低。
德语国家耳部手术的诊断途径存在不均匀性。本次调查结果为制定诊断标准的讨论提供了进一步依据，该标准将在相应的指南和共识文件中制定。
