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  1. Article ; Online: Die Nase ist relevant.

    Weber, Rainer K

    HNO

    2024  Volume 72, Issue 4, Page(s) 223–224

    Title translation The nose is essential.
    MeSH term(s) Nose/surgery ; Rhinoplasty
    Language German
    Publishing date 2024-03-22
    Publishing country Germany
    Document type Editorial
    ZDB-ID 200040-4
    ISSN 1433-0458 ; 0017-6192
    ISSN (online) 1433-0458
    ISSN 0017-6192
    DOI 10.1007/s00106-024-01444-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Invertiertes Papillom der Nase und Nasennebenhöhlen : Diagnostik, Therapie und maligne Transformation.

    Hildenbrand, Tanja / Weber, Rainer K

    HNO

    2024  Volume 72, Issue 4, Page(s) 257–264

    Abstract: Inverted papilloma (IP) are benign tumors that show a locally aggressive behavior, a high rate of recurrence, and a potential for malignant transformation. Specific radiological signs such as hyperostosis at the origin of the IP and convoluted ... ...

    Title translation Inverted papilloma of the nose and paranasal sinuses : Diagnosis, treatment, and malignant transformation.
    Abstract Inverted papilloma (IP) are benign tumors that show a locally aggressive behavior, a high rate of recurrence, and a potential for malignant transformation. Specific radiological signs such as hyperostosis at the origin of the IP and convoluted cerebriform patterns, as well as the typical endoscopic aspect, can lead to diagnosis and enable preoperative planning of surgical access and the extent of surgery. Endonasal endoscopic techniques are considered the gold standard and the introduction of extended surgical techniques such as the prelacrimal approach, frontal drillout, or orbital transposition facilitate complete subperiosteal resection with preservation of important physiological structures. There is a risk of synchronous and metachronous squamous cell carcinomas (IP-SCC). Research focuses on radiological criteria to differentiate benign IP from IP-SCC, genetic and epigenetic factors in the process of malignant transformation, and estimation of the risk of IP progressing to IP-SCC.
    MeSH term(s) Humans ; Papilloma, Inverted/diagnosis ; Papilloma, Inverted/surgery ; Paranasal Sinus Neoplasms/diagnosis ; Paranasal Sinus Neoplasms/surgery ; Paranasal Sinuses/pathology ; Nose/pathology ; Tomography, X-Ray Computed ; Nose Neoplasms/diagnosis ; Nose Neoplasms/surgery ; Nose Neoplasms/pathology ; Retrospective Studies
    Language German
    Publishing date 2024-01-12
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 200040-4
    ISSN 1433-0458 ; 0017-6192
    ISSN (online) 1433-0458
    ISSN 0017-6192
    DOI 10.1007/s00106-023-01406-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Lokale Lappenplastiken bei der Stirnhöhlendrainage Typ II und III nach Draf.

    Sommer, F / Weber, Rainer K

    HNO

    2024  Volume 72, Issue 4, Page(s) 272–278

    Abstract: Background: Extended endonasal endoscopic frontal sinus surgery is characterized by bone resection beyond the lamellae of the frontal sinus and is currently classified according to Draf as type IIa, type IIb, modified type III (also referred to as type ... ...

    Title translation Local flap reconstruction techniques after frontal sinus drainage type II and III according to Draf.
    Abstract Background: Extended endonasal endoscopic frontal sinus surgery is characterized by bone resection beyond the lamellae of the frontal sinus and is currently classified according to Draf as type IIa, type IIb, modified type III (also referred to as type IIc), and type III. This approach is indicated when the surgical goal cannot be achieved through complete removal of the anterior ethmoidal cells. Numerous studies indicate restenosis rates ranging from 7 to 36%, despite creation of maximal openings. Exposed bone, which tends to epithelize slowly with significant crusting and the risk of uncontrolled wound healing depending on the local environment and other factors, is considered a contributing factor. Covering the exposed bone with mucosa can significantly reduce the risk of restenosis.
    Methods and results: A variety of flap techniques for frontal sinus drainage in Draf III procedures are presented, including some variants that were part of presentations at the 2023 Congress of the European Rhinologic Society in Sofia, Bulgaria. These include combinations of free mucosal grafts, pedicled mucosal flaps, and hybrids combining both techniques. Additionally, the results of current studies are presented.
    Conclusion: The results and achieved opening areas in contemporary Draf III surgeries are significantly improved and larger compared to the early stages of these procedures. A multitude of published studies consistently demonstrate that outcomes are markedly improved with mucosal coverage. Depending on the prevailing anatomy, mucosal conditions, and the extent of the surgical intervention, the most suitable technique should be selected. Therefore, proficiency in various methods is crucial. The use of a flap technique (free, pedicled, or combinations thereof) should be defined as the standard when performing extended frontal sinus surgery (Draf IIb, IIc, III, or endonasal frontal sinus surgery [EFSS] 4-6).
    MeSH term(s) Frontal Sinus/surgery ; Surgical Flaps ; Endoscopy ; Mucous Membrane ; Drainage
    Language German
    Publishing date 2024-02-21
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 200040-4
    ISSN 1433-0458 ; 0017-6192
    ISSN (online) 1433-0458
    ISSN 0017-6192
    DOI 10.1007/s00106-024-01432-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Entscheidungsfindung bei der Behandlung der chronischen Rhinosinusitis mit Nasenpolypen in der Ära der Biologika.

    Hoffmann, Anna S / Betz, Christian S / Böscke, Robert / Weber, Rainer K

    HNO

    2024  Volume 72, Issue 4, Page(s) 225–230

    Abstract: Chronic rhinosinusitis is one of the most common chronic diseases in the population. Chronic rhinosinusitis with nasal polyps (CRSwNP) in adults is predominantly characterized by a type 2 inflammatory endotype. If sufficient control cannot be achieved ... ...

    Title translation Decision-making in the treatment of chronic rhinosinusitis with nasal polyps in the era of biologics.
    Abstract Chronic rhinosinusitis is one of the most common chronic diseases in the population. Chronic rhinosinusitis with nasal polyps (CRSwNP) in adults is predominantly characterized by a type 2 inflammatory endotype. If sufficient control cannot be achieved through primary drug therapy, surgical intervention is usually recommended as the next stage of treatment. Nowadays, various biologics are available that have been or will be approved for use in these patients. This review summarizes the presentations from the 29th Congress of the European Rhinologic Society in Sofia 2023 and the latest findings on decision-making in the treatment of CRSwNP. Standard therapy with medication and sinus surgery fails in some patients with CRSwNP. Biologics that act on the type 2 inflammatory pathway led to a reduction in the nasal polyp score (NPS), an improvement in nasal obstruction, and an improvement in quality of life without significant side effects. Biomarkers such as total IgE, serum eosinophils, and Osteoprotegerin (OPG) can provide indications of the success of the treatment. In summary, it can be said that for many patients with recurrent CRSwNP, a combination of paranasal sinus surgery and treatment with a biologic that is precisely tailored to the patient's endotype is the best option. However, the question of which surgical approach and which biologic at which time and for which patient is still ongoing and requires further studies.
    MeSH term(s) Adult ; Humans ; Nasal Polyps/complications ; Nasal Polyps/therapy ; Quality of Life ; Rhinosinusitis ; Rhinitis/complications ; Rhinitis/diagnosis ; Rhinitis/drug therapy ; Sinusitis/complications ; Sinusitis/diagnosis ; Sinusitis/drug therapy ; Biological Products/therapeutic use ; Chronic Disease
    Chemical Substances Biological Products
    Language German
    Publishing date 2024-02-20
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 200040-4
    ISSN 1433-0458 ; 0017-6192
    ISSN (online) 1433-0458
    ISSN 0017-6192
    DOI 10.1007/s00106-024-01430-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: Atlas of lacrimal surgery

    Weber, Rainer K.

    with 20 tables ; [DVD-ROM included]

    2007  

    Author's details R. K. Weber ... (ed.)
    Keywords Lacrimal Apparatus / surgery ; Ophthalmologic Surgical Procedures / methods ; Tränenwegskrankheit ; Augenchirurgie ; Dakryozystorhinostomie
    Subject Auge ; Augenoperation ; Ophthalmochirurgie ; Dacryocystorhinostomie ; Dahryostomie ; Dakryorhinostomie ; Dacryorhinostomy ; Dacryocystorhinostomy ; Tränenwege
    Subject code 617.764059
    Language English
    Size X, 158 S. : zahlr. Ill., 25 cm
    Publisher Springer
    Publishing place Berlin u.a.
    Publishing country Germany
    Document type Book
    Note Literaturangaben
    Accompanying material 1 DVD-ROM
    HBZ-ID HT015713455
    ISBN 978-3-540-26255-8 ; 3-540-26255-5
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2008 A 5789 order for loan Magazin
    2008 MO 195 <<[Begleitmaterial]>> order for loan Magazin

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  6. Book: Nachbehandlung nach HNO-Operationen

    Weber, Rainer K. / Hosemann, Werner Götz

    (HNO-Edition)

    2011  

    Author's details Rainer K. Weber ; Werner G. Hosemann
    Series title HNO-Edition
    Keywords Hals-Nasen-Ohren-Chirurgie ; Anschlussheilbehandlung
    Subject Anschlussheilverfahren ; Rehabilitation ; Nachbehandlung ; Heilverfahren ; Operative Hals-Nasen-Ohrenheilkunde ; Kopf- und Hals-Chirurgie
    Subject code 617.51059
    Language German
    Size 218 S. : Ill., 25 cm, 590 gr.
    Edition 1. Aufl.
    Publisher Giebel
    Publishing place Eiterfeld
    Publishing country Germany
    Document type Book
    Note Literaturangaben
    HBZ-ID HT016936920
    ISBN 978-3-933755-12-4 ; 3-933755-12-3
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2011 A 3638 order for loan Magazin

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  7. Article ; Online: „Radikale“ vs. „funktionelle“ Chirurgie der Nasennebenhöhlen – ein Widerspruch?

    Weber, Rainer K / Hildenbrand, Tanja / Kühnel, Thomas / Hoffmann, Thomas K / Betz, Christian / Sommer, Fabian

    HNO

    2023  Volume 72, Issue 2, Page(s) 102–112

    Abstract: Background and objective: The terms "functional" and "radical" paranasal sinus surgery were often considered to be different operations which were mutually exclusive. This overview aims to look at the basics of these terms and surgical procedures and to ...

    Title translation "Radical" versus "functional" surgery of the paranasal sinuses-A contradiction?
    Abstract Background and objective: The terms "functional" and "radical" paranasal sinus surgery were often considered to be different operations which were mutually exclusive. This overview aims to look at the basics of these terms and surgical procedures and to work out the resulting surgical concepts for clinically relevant indications.
    Material and methods: Selective literature analysis using the data base PubMed, corresponding textbooks and resulting secondary literature regarding functional and radical or extended paranasal sinus surgery. Similarly, the current literature regarding clinically relevant indications for sinus surgery were analyzed.
    Results and conclusion: Modern pathophysiological knowledge, anatomically and pathophysiologically substantiated endoscopic surgical procedures and the usage of up to date technical possibilities have resulted in concepts which combine functional and so-called radical or extended surgery of the paranasal sinuses that complement each other and sometimes even overlap. The preoperative diagnosis and definition of underlying diseases are decisive and should be as precise as possible, as the extent and surgical details mainly depend on them: a sole creation of free drainage pathways, an additional creation of anatomical access for subsequent topical treatment or a complete (radical) removal of a pathological process.
    MeSH term(s) Humans ; Paranasal Sinuses/surgery ; Endoscopy/methods ; Databases, Factual ; Chronic Disease
    Language German
    Publishing date 2023-10-25
    Publishing country Germany
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 200040-4
    ISSN 1433-0458 ; 0017-6192
    ISSN (online) 1433-0458
    ISSN 0017-6192
    DOI 10.1007/s00106-023-01378-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Partial Maxillectomy for the Improvement of Nasal Obstruction Can Be Combined with Septorhinoplasty.

    Weber, Rainer K / Giotakis, Evangelos I / Hildenbrand, Tanja / Heppt, Werner

    Facial plastic surgery : FPS

    2021  Volume 38, Issue 2, Page(s) 182–187

    Abstract: We describe the (anteromedial) partial maxillectomy technique which can be used to address impaired nasal breathing in cases of significant protrusion of the frontal process of the maxilla into the nasal cavity, narrowing the nasal pathway. It fits to ... ...

    Abstract We describe the (anteromedial) partial maxillectomy technique which can be used to address impaired nasal breathing in cases of significant protrusion of the frontal process of the maxilla into the nasal cavity, narrowing the nasal pathway. It fits to nasal physiology avoiding mucosal resection. It can be combined with surgery of the inferior turbinate. The described technique can be used in all forms of rhinoplasty.
    MeSH term(s) Humans ; Maxilla/surgery ; Nasal Cavity ; Nasal Obstruction/surgery ; Nasal Septum/surgery ; Rhinoplasty/methods ; Turbinates/surgery
    Language English
    Publishing date 2021-07-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 630090-x
    ISSN 1098-8793 ; 0736-6825
    ISSN (online) 1098-8793
    ISSN 0736-6825
    DOI 10.1055/s-0041-1730961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Die (chronisch) laufende Nase. Nasale Physiologie und Mikroanatomie / Klassifikation der Rhinitis und kausale Zuordnung / Diagnostik / Therapie

    Weber, Rainer K. / Kühnel, Thomas / Hosemann, Werner G.

    Consilium : Themenheft

    2022  Volume 8, Issue -, Page(s) 4/8/15/20/

    Language German
    Document type Article
    ZDB-ID 2835013-3
    ISSN 2365-7618
    Database Current Contents Medicine

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  10. Article: Nasal packing and stenting.

    Weber, Rainer K

    GMS current topics in otorhinolaryngology, head and neck surgery

    2011  Volume 8, Page(s) Doc02

    Abstract: Nasal packs are indispensable in ENT practice. This study reviews current indications, effectiveness and risks of nasal packs and stents. In endoscopic surgery, nasal packs should always have smooth surfaces to minimize mucosal damage, improve wound ... ...

    Abstract Nasal packs are indispensable in ENT practice. This study reviews current indications, effectiveness and risks of nasal packs and stents. In endoscopic surgery, nasal packs should always have smooth surfaces to minimize mucosal damage, improve wound healing and increase patient comfort. Functional endoscopic endonasal sinus surgery allows the use of modern nasal packs, since pressure is no longer required. So called hemostatic/resorbable materials are a first step in this direction. However, they may lead to adhesions and foreign body reactions in mucosal membranes. Simple occlusion is an effective method for creating a moist milieu for improved wound healing and avoiding dryness. Stenting of the frontal sinus is recommended if surgery fails to produce a wide, physiologically shaped drainage path that is sufficiently covered by intact tissue.
    Language English
    Publishing date 2011-03-10
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2178422-X
    ISSN 1865-1011
    ISSN 1865-1011
    DOI 10.3205/cto000054
    Database MEDical Literature Analysis and Retrieval System OnLINE

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