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Die Miniendoskopie im Kopf-Hals-Bereich

Mini-endoscopy in the head and neck region

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Zusammenfassung

Minimal-invasive, v. a. endoskopische Therapieverfahren sind eine wichtiges Thema in der heutigen Medizin. Während der letzten 15 Jahre wurde in verschiedenen Teilgebieten des Kopf-Hals-Gebiets die Miniendoskopie (ME) eingeführt und etabliert. Hierzu zählen die ME der Eustachi-Röhre, des Mittelohrs, der Tränenwege und der Speicheldrüsenausführungsgänge. Durch die direkte Visualisierung ermöglicht die ME eine schnelle, effiziente und exakte Diagnostik sowie eine befundadapierte Planung der Therapie. Vielfach ist eine simultane interventionelle Therapie möglich. Dies führte zu einer deutlichen Modifikation des therapeutischen Vorgehens mit dem Ziel eines Funktions- bzw. Organerhalts. An entsprechenden Zentren konnten externe Eingriffe am Tränenwegssystem so auf unter 10% bzw. die Rate an Parotidektomien auf unter 5% gesenkt werden. Damit wird nicht nur dem medizinischen Fortschritt, sondern auch der Forderung der für die medizinische Versorgung zuständigen Verwaltungsorgane nach Kosteneinsparungen im Gesundheitswesen Rechnung getragen.

Abstract

Minimally invasive, in particular endoscopic treatment modalities are an important topic in medicine today. Over the last 15 years mini-endoscopy (ME) has been introduced and established in different fields of the head and neck region. ME includes endoscopy of the Eustachian tube, middle ear, lacrimal duct system and duct system of the major salivary glands. Direct visualization by endoscopy enables rapid, efficient and accurate diagnosis and treatment planning according to the findings. In the majority of cases simultaneous interventional therapy is possible. This has lead to a fundamental change in treatment regimes which now aim to preserve the anatomic structure and function. In specialized centers the frequency of external dacryocystostomy could be reduced to less than 10% by means of endoscopic surgery of the lacrimal system, while the frequency of parotidectomy was reduced to below 5%. This development allows not only for medical advances, but also for the desired cost reduction on the part of the administrative organs responsible for providing medical care.

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Authors and Affiliations

  1. Klinik für Hals-, Nasen-, Ohrenkranke, Kopf und Hals-Chirurgie, Friedrich-Alexander-Universität Erlangen-Nürnberg, Waldstraße 1, 91054, Erlangen, Deutschland

    M. Koch, G. Mantsopoulos, H. Iro  & J. Zenk

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  1. M. Koch
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  2. G. Mantsopoulos
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  3. H. Iro
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  4. J. Zenk
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Correspondence to M. Koch.

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Koch, M., Mantsopoulos, G., Iro , H. et al. Die Miniendoskopie im Kopf-Hals-Bereich. HNO 58, 325–332 (2010). https://doi.org/10.1007/s00106-010-2094-x

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