{"id":1671,"date":"2015-07-15T15:48:11","date_gmt":"2015-07-15T15:48:11","guid":{"rendered":"https:\/\/laragroup.com.tr\/urunler\/tula-timpanostomi-sistemi-smithnephew\/"},"modified":"2026-03-04T16:15:41","modified_gmt":"2026-03-04T16:15:41","slug":"tula-timpanostomi-sistemi-smithnephew","status":"publish","type":"portfolio","link":"https:\/\/laragroup.com.tr\/de\/urunler\/tula-timpanostomi-sistemi-smithnephew\/","title":{"rendered":"Tula \u2013 Tympanostomie-System- SMITH+NEPHEW"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvh35yd-5a4be3ce506fe0088d7a6389ed5d04b5\">\n.avia-section.av-mjvh35yd-5a4be3ce506fe0088d7a6389ed5d04b5{\nbackground-color:#fd3209;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-mjvh35yd-5a4be3ce506fe0088d7a6389ed5d04b5 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_submenu  avia-builder-el-first  avia-bg-style-scroll 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.av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mjvhm2hx-c4b23cc9cbfe48c22dd174568e1f12ea av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-1  avia-builder-el-no-sibling '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Tula \u2013 Tympanostomie-System<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div class='clear'><\/div><div id='sub_menu1'  class='av-submenu-container av-mjvgcz7d-3c58e04d64b2f978e69cac506b1f1129 main_color  avia-builder-el-2  el_after_av_section  el_before_av_one_half  av-sticky-submenu submenu-not-first container_wrap fullsize' style='z-index:301' ><div class='container av-menu-mobile-disabled av-submenu-pos-left'><ul id='av-custom-submenu-1' class='av-subnav-menu' role='menu'>\n<li class='menu-item av-mjvgcdam-b236347122aa3715d2e052ca4352ebad menu-item-top-level menu-item-top-level-1' role='menuitem'><a href='#genel'  ><span class='avia-bullet'><\/span><span class='avia-menu-text'>Allgemeine Informationen<\/span><\/a><\/li>\n<li class='menu-item av-mjvgckgx-069e11a03e2b9dd1e654849f33035c87 menu-item-top-level menu-item-top-level-2' role='menuitem'><a href='#urun'  ><span class='avia-bullet'><\/span><span class='avia-menu-text'>Produkteigenschaften<\/span><\/a><\/li>\n<li class='menu-item av-mjvhnyjy-cf4ec6004b20a15d49686c976dcde1eb menu-item-top-level menu-item-top-level-3' role='menuitem'><a href='#alinti'  ><span class='avia-bullet'><\/span><span class='avia-menu-text'>Referenzen<\/span><\/a><\/li>\n<li class='menu-item av-mjvgcr8a-7e2a2b89ceaa7afcb16c65f6a32ce6e1 menu-item-top-level menu-item-top-level-4' role='menuitem'><a href='#feragat'  ><span class='avia-bullet'><\/span><span class='avia-menu-text'>Haftungsausschluss<\/span><\/a><\/li>\n<li class='menu-item av-mjvgcxm9-42ad86b45d5efaf4db3f0a32fc98b7a4 menu-item-top-level menu-item-top-level-5' role='menuitem'><a href='https:\/\/laragroup.com.tr\/wp-content\/uploads\/2026\/01\/mkt007048.pdf'  ><span class='avia-bullet'><\/span><span class='avia-menu-text'>Brosch\u00fcre<\/span><\/a><\/li>\n<\/ul><\/div><\/div><div class='sticky_placeholder'><\/div><div id='after_submenu_1'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1671'><div class='entry-content-wrapper clearfix'>\n<div  id=\"genel\"  class='flex_column av-mjvgfwyn-cac4dbf6626d364cb087b150224a8274 av_one_half  avia-builder-el-3  el_after_av_submenu  el_before_av_one_half  avia-builder-el-first  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvgiu58-c85bbb7afb10406b98f03447ec4e577f\">\n#top .av-special-heading.av-mjvgiu58-c85bbb7afb10406b98f03447ec4e577f{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mjvgiu58-c85bbb7afb10406b98f03447ec4e577f .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mjvgiu58-c85bbb7afb10406b98f03447ec4e577f .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"genel\"  class='av-special-heading av-mjvgiu58-c85bbb7afb10406b98f03447ec4e577f av-special-heading-h1  avia-builder-el-4  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Verfahrens\u00fcbersicht<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mjvgi92n-37bda9b260545956c84dc38d0a6cff48 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p data-start=\"35\" data-end=\"376\">Das <strong data-start=\"39\" data-end=\"54\">Tula-System<\/strong> ist f\u00fcr Patienten ab 6 Monaten von der FDA zugelassen. Das <strong data-start=\"114\" data-end=\"142\">Tula-Iontophorese-System<\/strong> beschleunigt die Aufnahme des ionischen Lokalan\u00e4sthetikums <strong data-start=\"202\" data-end=\"214\">TYMBION\u2122<\/strong> in das Trommelfell durch Anlegen einer niedrigen elektrischen Ladung. W\u00e4hrend des Eingriffs k\u00f6nnen Kinder ruhig spielen, Videos ansehen oder einen Snack essen.<\/p>\n<p data-start=\"378\" data-end=\"665\">Das <strong data-start=\"382\" data-end=\"416\">Tula-Tuben-Distributionssystem<\/strong> erm\u00f6glicht es dem Arzt, eine Myringotomie in weniger als einer halben Sekunde durchzuf\u00fchren und einen Grommet mit einem Innendurchmesser von 1,14 mm einzusetzen, wodurch die Zeit, in der das Kind stillhalten muss, auf ein Minimum reduziert wird.\u00b3<\/p>\n<p data-start=\"667\" data-end=\"875\" data-is-last-node=\"\" data-is-only-node=\"\">Das <strong data-start=\"671\" data-end=\"686\">Tula-System<\/strong> wird durch ein Schulungs- und Ausbildungsprogramm unterst\u00fctzt, das unter Mitwirkung von Experten in P\u00e4diatrischer Psychologie, medizinischem Stress- und Schmerzmanagement entwickelt wurde.<\/p>\n<\/div><\/section><\/p><\/div>\n<div  class='flex_column av-mjvgl868-9b573d96ba5dc7f0c353b76e46c44a20 av_one_half  avia-builder-el-6  el_after_av_one_half  el_before_av_one_full  flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvglls8-4a60f7ba3599c03d485904e3adfbad28\">\n.avia-image-container.av-mjvglls8-4a60f7ba3599c03d485904e3adfbad28 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-mjvglls8-4a60f7ba3599c03d485904e3adfbad28 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-mjvglls8-4a60f7ba3599c03d485904e3adfbad28 av-styling- avia-align-center  avia-builder-el-7  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-1670 avia-img-lazy-loading-not-1670 avia_image ' src=\"https:\/\/laragroup.com.tr\/wp-content\/uploads\/2015\/07\/ENT20_TULA_Full_Kit_Bi_2734_400x400_transp_bkgrnd.png\" 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flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvh4go9-2fed8bc0a65369edafaef8b083c9f978\">\n#top .av-special-heading.av-mjvh4go9-2fed8bc0a65369edafaef8b083c9f978{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mjvh4go9-2fed8bc0a65369edafaef8b083c9f978 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mjvh4go9-2fed8bc0a65369edafaef8b083c9f978 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"urun\"  class='av-special-heading av-mjvh4go9-2fed8bc0a65369edafaef8b083c9f978 av-special-heading-h1  avia-builder-el-9  el_before_av_iconlist  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Produkteigenschaften<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvgypqf-ca5f2cdb9743825197ce682195a35f19\">\n#top .avia-icon-list-container.av-mjvgypqf-ca5f2cdb9743825197ce682195a35f19 .iconlist_icon{\nbackground-color:#fd3209;\n}\n<\/style>\n<div  class='avia-icon-list-container av-mjvgypqf-ca5f2cdb9743825197ce682195a35f19  avia-builder-el-10  el_after_av_heading  avia-builder-el-last '><ul class='avia-icon-list avia_animate_when_almost_visible avia-icon-list-left av-iconlist-big av-mjvgypqf-ca5f2cdb9743825197ce682195a35f19 avia-iconlist-animate'>\n<li><div class='iconlist_icon av-mjvgyo0f-52799c524635668014284ed9bfbe983e avia-font-entypo-fontello-enfold avia-iconfont avia-font-entypo-fontello-enfold'><span class='av-icon-char' data-av_icon='\ue897' data-av_iconfont='entypo-fontello-enfold' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: Erfolgsrate von 87\u202f% bei Eingriffen in der Praxis\"><h4 class='av_iconlist_title iconlist_title  '  itemprop=\"headline\" >Erfolgsrate von 87\u202f% bei Eingriffen in der Praxis<\/h4><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>In der <strong data-start=\"42\" data-end=\"62\">Tula-Pilotstudie<\/strong> wurde der Erfolg bei bilateralen F\u00e4llen als die erfolgreiche Platzierung eines R\u00f6hrchens in beiden Ohren definiert. Die Erfolgsrate des <strong data-start=\"199\" data-end=\"218\">Tula-Verfahrens<\/strong> betrug 86\u202f% bei Kindern unter 5 Jahren und 89\u202f% bei Kindern im Alter von 5\u201312 Jahren.\u00b2 Die Patienten wurden in der Praxis behandelt, ohne Sedierung, Anxiolytika oder Einsatz eines Papoose-Boards.\u00b2<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-mjvh4qzw-efed75586ac2b3c180841a89903fc5bc avia-font-entypo-fontello-enfold avia-iconfont avia-font-entypo-fontello-enfold'><span class='av-icon-char' data-av_icon='\ue897' data-av_iconfont='entypo-fontello-enfold' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: 95\u202f% R\u00f6hrenoffenheit nach 3-w\u00f6chiger Nachkontrolle\"><h4 class='av_iconlist_title iconlist_title  '  itemprop=\"headline\" >95\u202f% R\u00f6hrenoffenheit nach 3-w\u00f6chiger Nachkontrolle<\/h4><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>Die funktionelle Offenhaltungsrate der in der Praxis platzierten <strong data-start=\"100\" data-end=\"117\">Tula-R\u00f6hrchen<\/strong> \u00e4hnelt den in der Literatur berichteten Raten f\u00fcr herk\u00f6mmliche im Operationssaal platzierte R\u00f6hrchen.\u2074<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-mjvh530v-8fa485111b6df12801814729452b5289 avia-font-entypo-fontello-enfold avia-iconfont avia-font-entypo-fontello-enfold'><span class='av-icon-char' data-av_icon='\ue897' data-av_iconfont='entypo-fontello-enfold' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: 95\u202f% der Eltern waren mit dem Tula-Verfahren sehr zufrieden\"><h4 class='av_iconlist_title iconlist_title  '  itemprop=\"headline\" >95\u202f% der Eltern waren mit dem Tula-Verfahren sehr zufrieden<\/h4><\/header><div class='iconlist_content '  itemprop=\"text\" ><p data-start=\"35\" data-end=\"227\">Die <strong data-start=\"39\" data-end=\"62\">Elternzufriedenheit<\/strong> wurde nach einer 3-w\u00f6chigen Nachkontrolle erfasst, und 95\u202f% der Eltern gaben auf die folgende Aussage die Antwort \u201eStimme voll zu\u201c (82\u202f%) oder \u201eStimme zu\u201c (13\u202f%):<\/p>\n<p data-start=\"229\" data-end=\"326\">\u201eInsgesamt bin ich mit dem in der Praxis durchgef\u00fchrten Ohr-R\u00f6hrchen-Verfahren sehr zufrieden.\u201c<\/p>\n<p data-start=\"328\" data-end=\"374\" data-is-last-node=\"\" data-is-only-node=\"\">Insgesamt f\u00fcllten 201 Eltern die Umfrage aus.\u00b2<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<li><div class='iconlist_icon av-mjvh57do-47dfaf156b1870290ad4576fd73703f1 avia-font-entypo-fontello-enfold avia-iconfont avia-font-entypo-fontello-enfold'><span class='av-icon-char' data-av_icon='\ue897' data-av_iconfont='entypo-fontello-enfold' aria-hidden=\"true\"><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconlist_content_wrap\"><header class=\"entry-content-header\" aria-label=\"Icon: Durchschnittliche Zeit vom Einsetzen bis zum Ausfall des R\u00f6hrchens: 16,8\u202fMonate\"><h4 class='av_iconlist_title iconlist_title  '  itemprop=\"headline\" >Durchschnittliche Zeit vom Einsetzen bis zum Ausfall des R\u00f6hrchens: 16,8\u202fMonate<\/h4><\/header><div class='iconlist_content '  itemprop=\"text\" ><p>In der <strong data-start=\"42\" data-end=\"62\">Tula-Pilotstudie<\/strong> betrug die durchschnittliche Zeit vom Einsetzen bis zum Ausfall des R\u00f6hrchens f\u00fcr alle Kohorten 16,8\u202fMonate (Median 15,8\u202fMonate) und liegt damit im Einklang mit den in der Literatur berichteten Zeitspannen f\u00fcr vergleichbare im Operationssaal platzierte R\u00f6hrchen.\u2076\u2013\u00b9\u00b3<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class=\"iconlist-timeline\"><\/div><\/li>\n<\/ul><\/div><\/p><\/div>\n<div  id=\"alinti\"  class='flex_column av-mjvhq1m4-5be9282bd5215714dc1274bf3b6a5d59 av_one_full  avia-builder-el-11  el_after_av_one_full  el_before_av_one_full  first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvhpq3x-85948440f9cc2049efb8738328735a7d\">\n#top .av-special-heading.av-mjvhpq3x-85948440f9cc2049efb8738328735a7d{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mjvhpq3x-85948440f9cc2049efb8738328735a7d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mjvhpq3x-85948440f9cc2049efb8738328735a7d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"alinti\"  class='av-special-heading av-mjvhpq3x-85948440f9cc2049efb8738328735a7d av-special-heading-h1  avia-builder-el-12  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Referenzen<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mjvhpb0x-c90c4b5d1f83094d6368acba968c0e11 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><ol>\n<li>IFU007011, available at www.tulatubes.com\/IFU<\/li>\n<li>Lustig LR, Ingram A, Vidrine M, et al. In\u2010office tympanostomy tube placement in children using iontophoresis and automated tube delivery. Laryngoscope. 2020; 130: S1-S9. Satisfaction results from parents of children who participated in the Tula pivotal clinical study, n=201.<\/li>\n<li>Procedure typically lasts about 35 minutes. Tula Pivotal Study. Data on file.<\/li>\n<li>Data on file. Tula Pivotal Study. Results from office lead-in and pivotal cohorts combined.<\/li>\n<li>Kay et al. Meta-analysis of tympanostomy tube sequelae. Otol Head Neck Surg 124: 374-80 2001.<\/li>\n<li>Probable date of extrusion was calculated as the midpoint between the date when tube position across the tympanic membrane was last confirmed and the date when the tube was first noted to be extruded. Mean 95% Confidence Interval [CI]: 15.41-19.05, Median 95% CI: 16.16-17.42. Data on file. Tula Pivotal Study. Results from all cohorts combined.<\/li>\n<li>Waldman, E. H., Ingram, A., Vidrine, M., Gould, A. R., Zeiders, J. W., &#038; Lustig, L. R. (2022, September 10\u201314). Two-Year Outcomes After Pediatric In-Office Tympanostomy [Oral presentation]. AAO-HNSF 2022 Annual Meeting, Philadelphia, PA, United States.<\/li>\n<li>Lindstrom DR, Reuben B, Jacobson K, Flanary VA, Kerschner JE. Long-term results of Armstrong beveled grommet tympanostomy tubes in children. Laryngoscope. 2004;114(3):490-494.<\/li>\n<li>Weigel MT, Parker MY, Goldsmith MM, Postma DS, Pillsbury HC. A prospective randomized study of four commonly used tympanostomy tubes. Laryngoscope. 1989;99(3):252-256.<\/li>\n<li>April MM, Portella RR, Orobello PW Jr, Naclerio RM. Tympanostomy tube insertion: anterosuperior vs. anteroinferior quadrant. Otolaryngol Head Neck Surg. 1992;106(3):241-242.<\/li>\n<li>Klingensmith MR, Strauss M, Conner GH. A comparison of retention and complication rates of large-bore (Paparella II) and small-bore middle ear ventilating tubes. Otolaryngol Head Neck Surg. 1985;93(3):322-330.<\/li>\n<li>Moon IS, Kwon MO, Park CY, et al. When should retained Paparella type I tympanostomy tubes be removed in asymptomatic children?. Auris Nasus Larynx. 2013;40(2):150-153.<\/li>\n<li>Walker P. Ventilation tube duration versus site of placement. Aust N Z J Surg. 1997;67(8):571-572.<\/li>\n<\/ol>\n<\/div><\/section><\/p><\/div>\n<div  id=\"feragat\"  class='flex_column av-bftqa-e53b65ea4a1df2eaf64a68df78af300b av_one_full  avia-builder-el-14  el_after_av_one_full  avia-builder-el-last  first flex_column_div  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mjvkf0mf-06a9aceda7bc5dead61a09ca1ef26be7\">\n#top .av-special-heading.av-mjvkf0mf-06a9aceda7bc5dead61a09ca1ef26be7{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mjvkf0mf-06a9aceda7bc5dead61a09ca1ef26be7 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mjvkf0mf-06a9aceda7bc5dead61a09ca1ef26be7 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  id=\"alinti\"  class='av-special-heading av-mjvkf0mf-06a9aceda7bc5dead61a09ca1ef26be7 av-special-heading-h1  avia-builder-el-15  el_before_av_textblock  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Haftungsausschluss<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mjvkenwf-9c3aabe456c668da4457c1a736eafcb6 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div class=\"flex h-svh w-screen flex-col\">\n<div class=\"relative z-0 flex min-h-0 w-full flex-1\">\n<div class=\"relative flex min-h-0 w-full flex-1\">\n<div class=\"@container\/main relative flex min-w-0 flex-1 flex-col -translate-y-&#091;calc(env(safe-area-inset-bottom,0px)\/2)&#093; pt-&#091;calc(env(safe-area-inset-bottom,0px)\/2)&#093;\">\n<div class=\"@w-sm\/main:&#091;scrollbar-gutter:stable_both-edges&#093; touch:&#091;scrollbar-width:none&#093; relative flex min-h-0 min-w-0 flex-1 flex-col &#091;scrollbar-gutter:stable&#093; not-print:overflow-x-clip not-print:overflow-y-auto scroll-pt-(--header-height) &#091;--sticky-padding-top:var(--header-height)&#093; has-data-&#091;fixed-header=less-than-xl&#093;:@w-xl\/main:scroll-pt-0 has-data-&#091;fixed-header=less-than-xl&#093;:@w-xl\/main:&#091;--sticky-padding-top:0px&#093; has-data-&#091;fixed-header=less-than-xxl&#093;:@w-2xl\/main:scroll-pt-0 has-data-&#091;fixed-header=less-than-xxl&#093;:@w-2xl\/main:&#091;--sticky-padding-top:0px&#093;\" data-scroll-root=\"\"><main id=\"main\" class=\"min-h-0 flex-1\"><\/p>\n<div id=\"thread\" class=\"group\/thread flex flex-col min-h-full\">\n<div class=\"composer-parent flex flex-1 flex-col focus-visible:outline-0\" role=\"presentation\">\n<div class=\"relative basis-auto flex-col -mb-(--composer-overlap-px) &#091;--composer-overlap-px:28px&#093; grow flex\">\n<div class=\"flex flex-col text-sm pb-25\">\n<article class=\"text-token-text-primary w-full focus:outline-none &#091;--shadow-height:45px&#093; has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) &#091;&amp;:has(&#091;data-writing-block&#093;)&gt;*&#093;:pointer-events-auto scroll-mt-&#091;calc(var(--header-height)+min(200px,max(70px,20svh)))&#093;\" dir=\"auto\" tabindex=\"-1\" data-turn-id=\"request-WEB:44da7144-af7f-47de-ba6e-e3fa348efcd4-103\" data-testid=\"conversation-turn-206\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 &#091;--thread-content-margin:--spacing(4)&#093; @w-sm\/main:&#091;--thread-content-margin:--spacing(6)&#093; @w-lg\/main:&#091;--thread-content-margin:--spacing(16)&#093; px-(--thread-content-margin)\">\n<div class=\"&#091;--thread-content-max-width:40rem&#093; @w-lg\/main:&#091;--thread-content-max-width:48rem&#093; mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal &#091;.text-message+&amp;&#093;:mt-1\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"4e695458-fbf5-4d53-929c-5e3070f401a9\" data-message-model-slug=\"gpt-5-mini\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-&#091;1px&#093;\">\n<div class=\"markdown prose dark:prose-invert w-full wrap-break-word light markdown-new-styling\">\n<p data-start=\"35\" data-end=\"483\">Das <strong data-start=\"39\" data-end=\"54\">Tula-System<\/strong> ist f\u00fcr p\u00e4diatrische Patienten (ab 6 Monaten) und Erwachsene konzipiert, bei denen ein Tympanostomie-R\u00f6hrchen eingesetzt werden muss. Es wird verwendet, um eine Myringotomie durchzuf\u00fchren und ein Tympanostomie-R\u00f6hrchen unter lokaler An\u00e4sthesie einzusetzen, die mit dem <strong data-start=\"324\" data-end=\"352\">Tula-Iontophorese-System<\/strong> und <strong data-start=\"357\" data-end=\"368\">TYMBION<\/strong> appliziert wird \u2013 einer Kombination aus amidischem Lokalan\u00e4sthetikum sowie Alpha- und Beta-adrenergen Agonisten.<\/p>\n<p data-start=\"485\" data-end=\"723\"><strong data-start=\"485\" data-end=\"507\">Kontraindikationen<\/strong> umfassen bestimmte abnormale Ohr-Anatomien, \u00dcberempfindlichkeit\/Allergien gegen Lidocain oder andere Lokalan\u00e4sthetika und Abh\u00e4ngigkeit von elektrisch empfindlichen medizinischen Implantaten wie Herzschrittmachern.<\/p>\n<p data-start=\"725\" data-end=\"891\"><strong data-start=\"725\" data-end=\"736\">Risiken<\/strong> k\u00f6nnen unzureichende lokale An\u00e4sthesie, Schwindel und die \u00fcblichen Risiken eines Tympanostomie-Verfahrens umfassen, sind jedoch nicht darauf beschr\u00e4nkt.<\/p>\n<p data-start=\"893\" data-end=\"1101\" data-is-last-node=\"\" data-is-only-node=\"\">F\u00fcr vollst\u00e4ndige Verschreibungsinformationen konsultieren Sie bitte die <strong data-start=\"965\" data-end=\"977\">Tula-IFU<\/strong> und die <strong data-start=\"986\" data-end=\"1011\">TYMBION-Beipackzettel<\/strong> unter <a class=\"decorated-link\" href=\"http:\/\/www.tulatubes.com\/IFU\" target=\"_new\" rel=\"noopener\" data-start=\"1018\" data-end=\"1071\">www.tulatubes.com\/IFU<\/a>. Nur verschreibungspflichtig.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"z-0 flex min-h-&#091;46px&#093; justify-start\"><\/div>\n<div class=\"mt-3 w-full empty:hidden\">\n<div class=\"text-center\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<div class=\"pointer-events-none h-px w-px absolute bottom-0\" aria-hidden=\"true\" data-edge=\"true\"><\/div>\n<\/div>\n<div id=\"thread-bottom-container\" class=\"sticky bottom-0 group\/thread-bottom-container relative isolate z-10 w-full basis-auto has-data-has-thread-error:pt-2 has-data-has-thread-error:&#091;box-shadow:var(--sharp-edge-bottom-shadow)&#093; md:border-transparent md:pt-0 dark:border-white\/20 md:dark:border-transparent print:hidden content-fade single-line flex flex-col\">\n<div class=\"relative h-0\"><\/div>\n<div id=\"thread-bottom\">\n<div class=\"text-base mx-auto &#091;--thread-content-margin:--spacing(4)&#093; @w-sm\/main:&#091;--thread-content-margin:--spacing(6)&#093; @w-lg\/main:&#091;--thread-content-margin:--spacing(16)&#093; 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md:px-&#091;60px&#093;\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><\/main><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div><\/div>\n<\/div>\n<\/div><\/section><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1670,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"tags":[],"portfolio_entries":[47],"class_list":["post-1671","portfolio","type-portfolio","status-publish","has-post-thumbnail","hentry","portfolio_entries-kulak"],"_links":{"self":[{"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/portfolio\/1671","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/portfolio"}],"about":[{"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/types\/portfolio"}],"author":[{"embeddable":true,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/comments?post=1671"}],"version-history":[{"count":7,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/portfolio\/1671\/revisions"}],"predecessor-version":[{"id":2002,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/portfolio\/1671\/revisions\/2002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/media\/1670"}],"wp:attachment":[{"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/media?parent=1671"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/tags?post=1671"},{"taxonomy":"portfolio_entries","embeddable":true,"href":"https:\/\/laragroup.com.tr\/de\/wp-json\/wp\/v2\/portfolio_entries?post=1671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}