Treatment of acoustic meatus defect with myringoplasty in Charite University Hospital Berlin
Charite University Hospital Berlin
Berlin, Germany
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Program id #
118649
Prof. Dr. med. Heidi Olze
Department of Adult and Pediatric Otolaryngology
Specialized in: adult and pediatric otolaryngology The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- otorhinolaryngological examination:
- Dix-Hallpike testing
- nystagmus testing:
- spontaneous nystagmus
- positional nystagmus
- artificial nystagmus testing
- speech audiometry
- tympanometry
- eustachian tube testing
- testing of blood pressure and buzzing
for tinnitus examination - otoacoustic emission test
- brainstem audiometry
- VEMP testing
(Vestibular evoked Myogenic Potential) - video head impulse testing
- eye movement testing
- CT of petrous pyramid
- preparation according to preoperative standard
- myringoplasty
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
- written statement
Required documents
- Medical records
- Audiometry (if available)
- Temporal bone CT scan (if available)
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About the department
The Department of Adult and Pediatric Otolaryngology at the Charite University Hospital Berlin offers a wide range of modern diagnostic and therapeutic services to patients with ENT diseases of all ages. The highly competent physicians of the department focus on patients with head and neck tumors, severe hearing disorders, diseases of the nasal cavity and paranasal sinuses, pathologies of the salivary glands, and pediatric ENT diseases. The specialization includes cochlear implantation and surgeries to install innovative bone conduction implants. Patients also have access to an experienced team of plastic surgeons with first-class qualifications in the field of aesthetic and reconstructive facial plastic surgery. The department began its work in 1893, which has allowed it to accumulate exceptional expert experience, including in the treatment of complex clinical cases, as well as long-standing traditions of quality medical care for patients. More than 40,000 patients are treated in the department annually. In four high-tech operating rooms, more than 3,500 surgical interventions and more than 140 cochlear implantation procedures are performed each year – with certification according to the ClarCert standard. These indicators speak for themselves and confirm the authority of the clinic within the country and at the international level. The department is headed by Prof. Dr. med. Heidi Olze.
The department's physicians are leading specialists in the country in the treatment of hearing disorders of varying severity. The therapeutic offer of the medical facility in this area includes hearing improvement surgeries and sparing minimally invasive surgeries for the installation of cochlear implants, middle ear implants, and bone conduction hearing aids. Physicians successfully perform cochlear implantation for both adults and children. The rich clinical experience in this field spans more than 30 years. For outstanding results in the field of treatment with cochlear implantation, the medical facility has been awarded the ClarCert quality certificate. Cochlear implantation is indicated for patients with bilateral congenital or acquired sensorineural hearing loss and for particularly severe forms of deafness, when it is impossible to restore hearing with the help of conventional hearing aids. The essence of the intervention is to prosthetically replace the affected cochlea of the inner ear to restore hearing and speech perception. A cochlear implant consists of external and internal components: the external one with a microphone and speech processor is installed in the behind-the-ear area, and the internal one is implanted under the skin. The receiver of the internal component of the cochlear implant converts signals into electrical impulses. The cochlear nerve conducts these impulses to the brain, allowing a person with hearing loss to hear. Four to five weeks after the cochlear implant surgery, the patient undergoes a course of hearing and speech rehabilitation – this is the final stage of treatment.
The priority clinical tasks of the department's team of otolaryngologists include the diagnosis and treatment of head and neck tumors. Comprehensive care can be provided here for patients with tumors of the ear, nasal cavity, paranasal sinuses, oral cavity, larynx, and the skin of the face and neck. If a head or neck neoplasm is suspected, the patient will undergo a diagnostic examination, including medical history collection, clinical examination, sonography of the lymph nodes of the neck, computed tomography, magnetic resonance imaging, and other studies. Based on the diagnostic data, an interdisciplinary tumor board develops an individualized treatment plan for the patient. The department is a part of the Charite Comprehensive Cancer Treatment Center – one of the leading cancer centers in Europe. The department's specialists have access to all the resources of the cancer center, which makes it possible to provide comprehensive treatment using modern methods: minimally traumatic surgical interventions, chemotherapy, radiation therapy, targeted therapy, and immunotherapy.
The department's specialization also includes the treatment of diseases of the nasal cavity and paranasal sinuses. Most often, patients with acute and chronic inflammatory lesions of the mucous membrane of the nose and paranasal sinuses, and nasal polyps, seek treatment at the department. These pathologies cause difficult nasal breathing, which significantly affects the quality of life. At the examination stage, a key role is assigned to endoscopic examination and rhinomanometry; in some cases, computed tomography may also be required. After the diagnosis is established, treatment tactics are determined – this may be conservative therapy or minimally invasive surgical intervention using endoscopic and microscopic techniques.
The range of therapeutic services of the department also includes the treatment of ENT diseases in children and adolescents. The department's specialists have many years of experience in performing adenoidectomy (surgery to remove adenoids), paracentesis of the eardrum to create drainage of pathological fluid from the middle ear, tympanostomy (drum eardrum shunting), laser tonsillotomy (partial removal of the palatine tonsils), and laser procedures for recurrent nosebleeds. Otoplasty is also regularly performed here to correct the shape of the auricles in children, and reconstructive plastic surgery to correct missing auricles.
The main areas of clinical practice of the department include:
- Diagnostics and treatment of hearing disorders and hearing loss
- Drug therapy for acute hearing disorders
- Hearing improvement surgeries
- Surgical treatment using hearing implants
- Cochlear implantation
- Electroacoustic stimulation using Hybrid N7, Sonnet EAS, Naida CI Q90 EAS systems
- Installation of auditory brainstem implants
- Installation of middle ear implants: Vibrant Soundbridge, Carina
- Installation of bone conduction implants: BONEBRIDGE, BAHA, Ponto
- Diagnostics and treatment of head and neck tumors – in collaboration with the Charite Comprehensive Cancer Treatment Center
- Surgical treatment
- Chemotherapy
- Radiation therapy
- Targeted therapy
- Immunotherapy
- Diagnostics and treatment of nose and paranasal sinus diseases
- Conservative therapy
- Endoscopic and microscopic interventions, including those under CT control
- Cortisone therapy for olfactory disorders
- Diagnostics and treatment of salivary gland diseases
- Sialoendoscopy
- Extracorporeal shock wave therapy
- Minimally invasive surgical interventions
- Diagnostics and treatment of soft tissue diseases of the neck
- Conservative treatment
- Surgical treatment
- Diagnostics and treatment of allergic reactions
- Hyposensitization for allergy treatment: subcutaneous, sublingual, and oral
- Antibody treatment for severe asthma and severe nasal polyposis
- Functional endoscopic surgery of the nose and paranasal sinuses
- Straightening of the nasal septum (septoplasty)
- Reduction of nasal turbinates (laser, radiofrequency techniques)
- Diagnostics and treatment of snoring, obstructive sleep apnea syndrome
- Laser surgery
- Radiofrequency therapy
- Classic surgical procedures under general anesthesia
- Hypoglossal nerve stimulation
- Diagnostics and treatment of otolaryngological diseases in children
- Adenoidectomy
- Paracentesis of the eardrum
- Tympanostomy
- Laser tonsillotomy
- Surgical resection of tumors, cysts, and fistulas of ENT organs
- Treatment of lymphangiomas and hemangiomas using conservative methods, ultrasound-guided sclerotherapy or laser therapy
- Emergency treatment of acute inflammatory diseases and their complications
- Removal of foreign bodies from the ear canal, nose, throat, or airways
- Installation of hearing aids and cochlear implantation
- Plastic interventions: otoplasty, correction of missing auricles or auditory canals
- Plastic surgery
- Reconstructive plastic surgery
- Reconstructive plastic surgery for defects of the nose, face, and ears
- Reconstructive plastic surgery after fractures of the ear, nose, and throat after accidents
- Reconstructive plastic surgery for facial nerve paralysis
- Aesthetic plastic surgery
- Rhinoplasty
- Otoplasty
- Blepharoplasty
- Reconstructive plastic surgery
- Other medical services
Curriculum vitae
Education
- 1992 Study of Medicine at the Humboldt University of Berlin.
Professional Сareer
- 1992 - 1998 Assistant Physician in the Department of Adult and Pediatric Otolaryngology at the Charite University Hospital Berlin.
- 1999 Medical Specialist in Otolaryngology.
- 2002 Senior Physician, Department of Adult and Pediatric Otolaryngology at the Charite University Hospital Berlin, Campus Mitte and Virchow.
- 2003 Leading Senior Physician and Deputy Head of the Department of Adult and Pediatric Otolaryngology at the Charite University Hospital Berlin, Campus Virchow.
- Since 10.2003 Head of the Department of Adult and Pediatric Otolaryngology at the Charite University Hospital Berlin, Campus Virchow.
- Since 2010 Head of the Department of Adult and Pediatric Otolaryngology at the Charite University Hospital Berlin, Campus Mitte and Virchow.
Academic Achievements
- 1996 Doctoral thesis defense with honors (Dr. med.). Subject: "Researches on the improvement of alloplastic tracheal replacement using epithelialized graft".
- 2006 Habilitation in Otolaryngology and Venia legendi, Charite University Hospital Berlin. Subject: "Cytokines, chemokines, and chemokine receptors in chronic rhinosinusitis".
- 2012 Appointment as Extraordinary Professor.
Professional Specialization and Additional Qualifications
- 2007 Additional qualification in Plastic Surgery.
- 2008 Additional qualification in Allergology.
- Permission to train medical students in Otolaryngology, Plastic Surgery and Allergology.
- 2011 Additional qualifications: Healthcare Quality Management and Medical Pedagogy.
Awards and Honors
- Bronze Medal Award, "Expression of cytokines in allergic and non-allergic nasal polyps".
- 2000 IX World Congress of the International Rhinologic Society, American Rhinologic Society and Mayo Clinic, "The Nose 2000 and beyond", Washington, USA.
Memberships in Scientific Societies (selected)
- German Society of Otolaryngology, Head and Neck Surgery.
- Chairman of the Council of the Working Group on Clinical Immunology, Allergology and Environmental Medicine (DGHNO).
- Board Member of the Otolaryngological Society of Berlin.
- European Academy of Allergy and Clinical Immunology (EAACI).
- Global Allergy and Asthma European Network, GA2LEN.
- German Society of Cochlear Implantation.
Research Focuses
- Sanitation, microsurgery for hearing improvement and hearing implants (cochlear implant, middle ear implants, bone conduction hearing devices).
- Nose and paranasal sinus endoscopic microsurgery, if necessary, using navigation systems.
- Plastic and aesthetic facial surgery.
- Otolaryngology (conservative and surgical therapy).
- Skull base and orbital interdisciplinary surgery.
- Surgery for snoring and sleep apnea syndrome.
- Treatment of otolaryngological tumors.
Research Focuses
- Cochlear implantation.
- Treatment of inner ear diseases.
- Nasal polyps.
- Allergology.
Photo of the doctor: (c) Charité – Universitätsmedizin Berlin
About hospital
According to the reputable Focus magazine, the Charite University Hospital Berlin ranks 1st among the best healthcare facilities in Germany!
The hospital is one of the largest and leading university medical complexes in Europe, and also consistently holds leading positions in the international medical arena. The Charite operates on the basis of the Faculty of Medicine of the Free University of Berlin and the Humboldt University of Berlin. Patients are offered modern diagnostics and treatment with the very latest methods, many of which were developed by professors and scientists of the medical complex. More than half of all German Nobel Prize winners in medicine and physiology, such as Emil von Behring, Robert Koch, and Paul Ehrlich, studied and worked at the Charite University Hospital Berlin. The medical complex includes more than 100 specialized departments and institutes, which helps to ensure that patients receive care in all existing medical specialties. The hospital has exceptional experience in treating complex clinical cases.
Each year, the hospital treats more than 137,800 inpatients and more than 787,700 outpatients. The hospital has a bed capacity of 3,293 beds. A huge medical team consisting of 5,670 scientists and doctors and more than 6,000 nurses work for the benefit of the patients. The main task of all specialists of the medical facility is to restore the patient's health or save his life in critical cases. The hospital has a friendly atmosphere where every patient feels care, respect and empathy.
The Charite University Hospital Berlin is generously funded by the German government, which is why it offers patients the latest generation of excellent equipment and comfortable infrastructure. The Charite medical complex is equipped with da Vinci robotic surgery systems, laser technologies, equipment for endovascular catheter-based interventions, neuronavigation devices, intraoperative monitoring systems, equipment for proton therapy available only in the most advanced medical centers in the world, and many other technologies. All these resources, combined with the experience and professional skills of the hospital's doctors, are the key to providing the most effective and safe treatment in accordance with the highest international medical standards.
The hospital is recognized with a huge number of quality certificates, including DIN EN ISO 9001:2015, certificates from the German Cancer Society (DKG), the German Society for General and Visceral Surgery (DGAV), the German Society for Thoracic Surgery (DGT), the German Hernia Society (DHG), and the ERAS Society.
The Charite University Hospital Berlin is a benchmark in the European healthcare system. Patients therefore receive impeccable medical service, quality care, and personalized service that puts the patient and their individual needs first.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Charite University Hospital Berlin live in comfortable rooms made of modern design. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, a table and chairs for receiving visitors, and a TV. If desired, Wi-Fi access can be provided. The hospital also offers enhanced-comfort rooms.
Meals and Menus
The patient and his accompanying person have a daily choice of three menus. If for any reason, you do not like the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences before the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
Religious services are available upon request.
Accompanying person
During the inpatient program, an accompanying person may stay with you in a patient room or at the hotel of your choice.
Hotel
During the outpatient program, you can live at a hotel of your choice. Managers will help you to choose the most suitable options.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
- Proton therapy
- CyberKnife treatment
- Hyperthermic intraperitoneal chemotherapy (HIPEC)
- PSMA therapy with Lutetium-177
- Joint replacement in adults and children
These are oncological diseases, benign neoplasms of the brain and spinal cord, heart valve defects, diabetes mellitus and its complications, joint diseases and other pathologies.
- Neurosurgery
- Oncology
- Plastic and reconstructive surgery
- Interventional radiology
- Proton therapy (Proton Therapy Center BerlinProtonen)
The medical team includes more than 4,225 highly qualified scientists and doctors.
