Zusammenfassung
Für Therapie und Rehabilitation bei Hörstörungen stehen vielfältige Möglichkeiten
zur Verfügung. Dazu zählen medikamentöse, akustische, elektrische, chirurgische, radiologische,
verhaltensmedizinisch orientierte und so genannte „alternative“ Strategien.
Auffällig ist jedoch die weite Spanne zwischen viel versprechenden tierexperimentellen
Ergebnissen bis hin zur Regeneration und Stammzelltransplantation einerseits und der
Mangel an klinischen Studien mit hohem Evidenzniveau selbst bei seit Jahrzehnten etablierten
Therapieverfahren andererseits. In dieser Übersicht werden zum einen der gegenwärtige
Stand und die Vielfalt der konservativen Therapiemöglichkeiten und Therapieversuche
bei Hörstörungen dargestellt. Dabei soll die Übersicht und Kommentierung durchgeführter
klinischer Studien dem Leser ein eigenes Urteil über die Wirksamkeit verschiedener,
insbesondere medikamentöser Behandlungen und damit die Entscheidungshilfe bei der
Therapie erleichtern. Zum anderen wird ein Ausblick auf zukünftige Therapiestrategien,
insbesondere auch der lokalen Medikamentapplikation an das Innenohr, gegeben.
Schlüsselwörter
Innenohr - klinische Studien - Pharmakokinetik - Placebo - randomisiert - Schwerhörigkeit
- Therapie - Tierversuche - Tinnitus
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Dr. med. Stefan Plontke
Klinik für Hals-, Nasen- und Ohrenheilkunde am Universitätsklinikum Tübingen
Elfriede-Aulhorn-Straße 5 · 72076 Tübingen
eMail: Stefan. Plontke@uni-tuebingen. de