Publications by authors named "Orlando Guntinas Lichius"

Post/Long COVID (syndrome) is defined as a condition with symptoms persisting for more than 12 weeks after the onset of SARS-CoV-2 infection that cannot be explained otherwise. The prevalence of self-reported otorhinolaryngological Post/Long COVID symptoms is high. The aim of this review was to analyze the current literature regarding the actual prevalence, knowledge of the etiopathology, and evidence-based treatment recommendations of otorhinolaryngology-related Post/Long COVID symptoms.

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Tonsillectomy is one of the most common operations. Tonsillectomy is also one of the most painful surgical procedures. However, there is still no satisfactory standard for postoperative pain management.

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The rising incidence of head and neck cancer represents a serious global health challenge, requiring more accurate diagnosis and innovative surgical approaches. Multimodal nonlinear optical microscopy, combining coherent anti-Stokes Raman scattering (CARS), two-photon excited fluorescence (TPEF), and second-harmonic generation (SHG) with deep learning-based analysis routines, offers label-free assessment of the tissue's morphochemical composition and allows early-stage and automatic detection of disease. For clinical intraoperative application, compact devices are required.

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  • The study aimed to determine whether chronic rhinosinusitis (CRS) influenced the risk of contracting COVID-19 by comparing CRS patients who had sinus surgery and a matched non-CRS control group.
  • Findings revealed no significant association between CRS, regardless of its type (with or without nasal polyps), and the likelihood of COVID-19 infection.
  • The research concluded that CRS did not act as a risk or protective factor for COVID-19, with additional insights on olfactory abilities varying between CRS subtypes.
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: In vivo visualization of malignant tumors remains the main challenge during head and neck cancer surgery. This can result in inadequate tumor margin assessment and incomplete tumor resection, adversely affecting patient outcomes. Hyperspectral imaging (HSI) is a promising approach to address this issue.

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Background: Tinnitus can cause considerable psychological distress among patients, particularly if comorbidities occur. Despite a strong relationship between tinnitus-related distress and depression, the underlying mechanisms represent a long-standing question. By investigating the co-development of tinnitus-related distress and depressiveness throughout therapy, we capture the dynamic interplay of both conditions and uncover underlying common features mediating their link.

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Surface Functional Electrical Stimulation (FES) is a well-studied intervention for multiple muscular disorders. However, it is still controversially discussed as a complementary therapy for complete facial paralysis. The aim of this intervention is to test a daily home-based ES concept as a pilot study regarding safety, feasibility, and effects on facial functionality and symmetry.

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Functional Electrical Stimulation (FES) is an established intervention for a range of muscular and neurological disorders that has already been studied in numerous publications. However, its application to Peripheral Facial nerve Paralysis (PFP) still needs to be sufficiently investigated. As the first approach known to the authors, this study examines the effect of FES on the facial muscles in complete PFP using ultrasonography as a means of observation.

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Purpose: Modern facial surgery can improve eye closure and address facial functional and emotional expression disabilities in case of severe acute facial paralysis with low probability of recovery and in cases of chronic flaccid facial paralysis. Reports on outcome typically originate from specialized tertiary care centers, whereas population-based data from routine care beyond specialized centers is sparse.

Methods: Therefore, patients' characteristics, surgical techniques, postoperative complications, and patients' satisfaction with the final outcome were analyzed for all inpatients with facial paralysis undergoing facial surgery in Thuringia, a federal state in Germany, between 2006 and 2022.

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Article Synopsis
  • Facial palsy severely affects patients' ability to smile and close their eyelids, leading to significant quality of life issues.
  • A novel treatment involves a closed-loop electro-stimulation system that uses artificial intelligence to classify intended facial movements and stimulate the correct facial muscles.
  • In a study with 17 patients, this system achieved a median macro F1-score of 0.602, indicating its effectiveness in aiding facial movements on the affected side.
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  • - The study aimed to evaluate how effective surgical loupes are in preventing complications like recurrent laryngeal nerve (RLN) palsy and hypocalcemia after thyroid surgery.
  • - A total of 813 patients from six studies were analyzed, showing that using loupes significantly reduced the incidence of temporary RLN palsy by about 41.8%.
  • - Although trends suggested lower rates of permanent RLN palsy and hypocalcemia with loupes, these results were not statistically significant, indicating potential benefits that need further research.
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  • Cerumen, or earwax, is made up of secretions from ceruminous glands, primarily consisting of lipids and proteins, but its diagnostic potential is largely untapped.
  • * Researchers utilized several advanced vibrational spectroscopy techniques, like Raman and optical photothermal infrared (OPTIR) spectroscopy, to analyze cerumen and identify its main components.
  • * The study highlights how these modern methods can enhance the detection of important molecular details in cerumen, potentially leading to new diagnostic tools and treatments in healthcare.
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This retrospective monocentric cohort study analyzed patients with head and neck cancer according their nutritional status and association of percutaneous endoscopic gastrostomy (PEG) from admission to six months after treatment at a tertiary hospital in Germany from 2017 to 2019. A total of 289 patients (76.5% men; median age 62 years; 63.

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Unlabelled: The European Larynx Organ Preservation Study (ELOS; NCT06137378) is a prospective, randomized, open-label, two-armed parallel group controlled, phase II multicenter larynx organ preservation (LOP) trial in locoregionally advanced (LA) stage III, IVA/B head and neck squamous cell carcinoma of the larynx or hypopharynx (LHSCC) amenable for total laryngectomy (TL) with PD-L1 expression within tumor tissue biopsy, calculated as CPS ≥ 1. Induction chemotherapy (IC) with docetaxel and cisplatin (TP) followed by radiation will be compared to TP plus PD-1 inhibition by pembrolizumab (MK-3475; 200 mg i.v.

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Blinking contributes to the health and protection of the eye and also holds potential in the context of muscle or nerve disorder diagnosis. Traditional methods of classifying eye blinking as open or closed are insufficient, as they do not capture medical-relevant aspects like closure speed, duration, or percentage. The issue could be solved by reliably detecting blinking intervals in high-temporal recordings.

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Wired high resolution surface electromyography (sEMG) using gelled electrodes is a standard method for psycho-physiological, neurological and medical research. Despite its widespread use electrode placement is elaborative, time-consuming, and the overall experimental setting is prone to mechanical artifacts and thus offers little flexibility. Wireless and easy-to-apply technologies would facilitate more accessible examination in a realistic setting.

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Indocyanine green (ICG) is a potential promising dye for a better intraoperative tumor border definition and an improved patient outcome by potentially improving tumor border visualization compared with traditional white light guided surgery. Here, the cellular uptake of ICG in human squamous cell carcinoma (SCC026) and immortalized non-cancer skin (HaCaT) cell lines was evaluated to study the tumor-specific cellular uptake of ICG. The spatial distribution of ICG inside tumor tissue was investigated in tissue sections of head and neck squamous cell carcinoma at a microscopic level.

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  • The study aimed to evaluate the effectiveness of different surgical methods for reconstructing the facial nerve in patients with face paralysis.
  • A systematic review analyzed data from 54 studies involving 1,358 patients, looking at the success rates of techniques like direct suture and nerve grafting.
  • Results showed varied success rates for different methods, but no significant difference was found between them; a standardized outcome measure is suggested for better comparisons in future research.
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Background: Many patients who consult the ENT doctor suffer from globus sensation, as a term for a multifactorial symptom description. It is particularly important during initial consultation to take the often-sensitive patients seriously and to offer a structured diagnostic clarification. Today, there is a lack of a screening tool in everyday clinical practice that can be used to differentiate the globus sensations more closely and assess their severity OBJECTIVES: The reliability and validity of the German version of the Glasgow Edinburgh Throat Scale (GETS) were examined.

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  • Patients with facial palsy frequently experience issues with eye blinking which can cause visual problems, but blinking analysis is not typically included in standard assessments.
  • A study recorded and analyzed spontaneous eye blinking in 30 patients with facial palsy (both acute and with synkinesis) and 30 healthy individuals using a smartphone, focusing on eye closure rate, blinking frequency, and duration.
  • Results indicated that the minimal eye closure was greater on the affected side for acute patients, while both patient groups had lower blinking frequency and longer blink duration compared to controls, suggesting that these metrics could enhance the functional evaluation of facial palsy.
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Importance: Clinicians should understand how patients who were treated with laryngeal cancer surgery think about this later on and what factors may be related with regretting surgery.

Objective: To assess variables associated with a positive attitude toward laryngeal cancer surgery.

Design, Setting, And Participants: This combination of 2 cohorts, based on patient interviews and questionnaires, was studied in 16 hospitals in Germany.

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  • A postal survey was conducted among 161 German ENT departments to evaluate the diagnostic effectiveness and complication rates of fine-needle aspiration (FNA) and core needle biopsy (CNB) in the thyroid gland, salivary glands, and lymph nodes.
  • The response rate was 45%, with many clinics not performing these procedures due to a lack of pathologist expertise.
  • FNA was more commonly used than CNB, achieving 63% meaningful findings for FNA and 83% for CNB, with very few cases reporting potential tumor cell spread, indicating varying practices across Germany.
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