ABSTRACT
Emergency situations involving the ears, nose, and throat (ENT) area can pose considerable challenges for clinicians and often require an interdisciplinary approach due to the involvement of different organ systems. To avoid damage to highly relevant sensory and perception organs and life-threatening bleeding or respiratory complications, strategies that are as quick and targeted as possible are necessary. This article aims to provide an overview of ENT emergency management strategies. The entire spectrum from simple conservative to highly complex surgical measures plays a role here, both diagnostically and therapeutically. Aspects such as bleeding, respiratory problems, inflammation, hearing disorders, vertigo, facial palsy and injuries to the head and neck area are discussed. In addition, important topics such as preventive measures and possible complications are also addressed to ensure optimal patient care.
Subject(s)
Emergencies , Nose , Humans , Inflammation , Nose/injuriesABSTRACT
Treatment of vestibular dysfunction remains a challenge for many otolaryngologists. This is true not only for establishing the differential neurotologic diagnosis, but also for treatment and treatment monitoring in vestibular dysfunction patients. Particularly quality control of therapeutic measures is generally poorly documented. The validated German version of the Dizziness Handicap Inventory (DHI) represents a viable option for evaluation and monitoring of treatment outcomes. In this study, patients who were treated at the Otorhinolaryngology Department of the University Hospital Aachen because of unilateral peripheral vestibular disorders were asked to complete the DHI before and after treatment. Posttherapeutic DHI scores were collected by telephone. Evaluation of the DHI scores underlined the significant benefit of treatment in 92%. Furthermore, the DHI prove to be useful for documentation of patients' disorders and treatment and thus for quality assurance.
Subject(s)
Dizziness , Vestibular Diseases , Disability Evaluation , Dizziness/diagnosis , Dizziness/therapy , Humans , Quality Control , Vertigo/diagnosis , Vertigo/therapy , Vestibular Diseases/diagnosis , Vestibular Diseases/therapyABSTRACT
BACKGROUND: Economic aspects related to the German health care system are rising. In the outpatient area does this trend influence the organization of the surgery and the treatment procedures as well as the relationship between the patient and the doctor. The patient's free volition of choice is increasing and the patient becomes a "customer" in the health system. The aim of this work is to to elucidate marketing issues for otorhinolaryngologist, which could improve the efficiency of their surgery. MATERIAL AND METHODS: 150 otorhinolaryngologist have undergone a written survey. The subjects of this survey were, how far marketing strategies are used by otolaryngologists and on the other hand, what are their opinions on marketing. RESULTS: 115 returned questionnaires were included in the statistical analysis (response rate: 77%). Only 44% of surveyed otolaryngologists deal yet with economic aspects. After all, 65% of the otorhinolaryngologist offered individual health services. On the other hand only 51% of otolaryngologists were additionaly qualificated and only 14% would like to acquire more skills. At the time of the survey 78% conducted a homepage. CONCLUSION: This study examined for the first time economic aspect in an otorhinolaryngology outpatient clinic. The interest in economic processes is currently low, but required by German law and in the interest of the owner himself. The 4 pillars of traditional marketing research help to understand the practice economically viable easily and competitive to set up in local contests over a long period.
