Wer braucht heute noch die kirchliche Presse? Zehn (Chef-)Redakteure von Tageszeitungen zu den Perspektiven der katholischen Publizistik

Die katholische Presse in Deutschland steckt in einer existenziellen Krise. Über die gegenwärtige Situation liegen zahlreiche Analysen vor, aber kaum konkrete Vorstellungen, Pläne und Initiativen zur Um- und Neugestaltung. Darum hat Communicatio Socialis Redakteure in der säkularen Tagespresse um ihre persönliche, aus der Alltagspraxis erwachsene „Meinung von draußen“ gebeten über die Fragen, ob Kirchenpresse noch eine Rolle spielt für innerkirchliche Kommunika- tion, ob sie in der Öffentlichkeit überhaupt noch wahrgenommen wird oder ob ihre Aufgaben andere, nicht-kirchliche Medien erfüllen. Aus den Statements von zehn Journalisten geht hervor, dass sie die gegenwärtige Kirchenpresse trotz zahlreicher verlegerischer und redaktioneller Bemühungen als Auslaufmodell ansehen. Ihr wird jedoch nicht nur innerkirchlich, sondern auch in der Gesellschaft noch eine Aufgabe zugemessen, wenn sie als professionelles Printmedium mit Eigengesetzlichkeit im Herausgeber-, Verleger- und Redaktionsbereich gemacht werden und sie wirtschaftlich geführt werden können. EnglishWho needs still Church press? Ten (chief) editors from daily newspapers about perspectives of the catholic journalism The German Catholic Church press is facing an essential crisis. This is proofed by many analyses but there are no plans or initiatives to change the situation. Therefore, the author asked collegues from secular newspapers whether they think that Church press is still a necessary means for communication within the Church and into society, or whether other Church owned or private new media could take over their mission, or whether secular media and new social media could cover the existing interests in Church matters. In the opinion of ten secular editors the traditional Catholic Church press is even after many publishing and editorial updatings no model for the future. In general, most of the secular journalists see still a mission for Catholic newspapers as a special means of communication within the Church and into society if they were seen and made as professional print media with autonomous laws for publishers and editors. There are doubts, however, whether Church authorities would want them this way and economic existence could be made possible.

Complex single step skull reconstruction in Gorham’s disease - a technical report and review of the literature

Background: Gorham’s disease is a rare osteolytic disorder characterized by progressive resorption of bone and replacement of osseous matrix by a proliferative non-neoplastic vascular or lymphatic tissue. A standardized treatment protocol has not yet been defined due to the unpredictable natural history of the disease and variable clinical presentations. No single treatment has proven to be superior in arresting the course of the disease. Trials have included surgery, radiation and medical therapies using drugs such as calcium salts, vitamin D supplements and hormones. We report on our advantageous experience in the management of this osteolyic disorder in a case when it affected only the skull vault. A brief review of pertinent literature about Gorham’s disease with skull involvement is provided. Case presentation: A 25-year-old Caucasian male presented with a skull depression over the left fronto-temporal region. He noticed progressive enlargement of the skull defect associated with local pain and mild headache. Physical examination revealed a tender palpable depression of the fronto-temporal convexity. Conventional X-ray of the skull showed widespread loss of bone substance. Subsequent CT scans showed features of patchy erosions indicative of an underlying osteolysis. MRI also revealed marginal enhancement at the site of the defect. The patient was in need of a pathological diagnosis as well as complex reconstruction of the afflicted area. A density graded CT scan was done to determine the variable degrees of osteolysis and a custom made allograft was designed for cranioplasty preoperatively to allow for a single step excisional craniectomy with synchronous skull repair. Gorham’s disease was diagnosed based on histopathological examination. No neurological deficit or wound complications were reported postoperatively. Over a two-year follow up period, the patient had no evidence of local recurrence or other systemic involvement. Conclusions: A single step excisional craniectomy and cranioplasty can be an effective treatment for patients with Gorham’s disease affecting the skull vault only. Preoperative planning by a density graded CT aids to design a synthetic bone flap and is beneficial in skull reconstruction. Systemic involvement is variable in this patient’s population