@article{MTMT:34803973, title = {Comparing the Quality of Life and Hearing Thresholds Following Stapedectomy Versus Laser Stapedotomy with NiTiBOND Piston}, url = {https://m2.mtmt.hu/api/publication/34803973}, author = {Révész, Péter and Kopjár, E. and Szakács, Zsolt and Warta, Vilmos and Szántóné Csongor, Alexandra and Gerlinger, Imre and Szanyi, István}, doi = {10.5152/iao.2024.231337}, journal-iso = {J INT ADV OTOL}, journal = {JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY}, volume = {20}, unique-id = {34803973}, issn = {1308-7649}, year = {2024}, eissn = {2148-3817}, pages = {142-146}, orcid-numbers = {Szakács, Zsolt/0000-0002-7035-941X} } @article{MTMT:34335469, title = {Efficacy of high dose systemic versus combined (systemic and intratympanic) corticosteroid therapy in idiopathic sudden sensorineural hearing loss : A prospective randomized trial and risk factor analysis}, url = {https://m2.mtmt.hu/api/publication/34335469}, author = {Kovács, Márton and Uzsaly, János Gáspár and Bodzai, G and Pap, István and Lippai, Bálint and Dergez, Tímea and Németh, Adrienn and Gerlinger, Imre and Szanyi, István and Bakó, Péter}, doi = {10.1016/j.amjoto.2023.104099}, journal-iso = {AM J OTOLARYNG}, journal = {AMERICAN JOURNAL OF OTOLARYNGOLOGY}, volume = {45}, unique-id = {34335469}, issn = {0196-0709}, abstract = {The pathophysiology and the proper treatment of idiopathic sudden sensorineural hearing loss (ISSNHL) are an ongoing subject of debate. Locally or systemic administered corticosteroids are the most accepted drugs of treatment in reference to ISSNHL (idiopathic sudden sensorineural hearing loss), however, no strong evidence nor guidelines regarding their effectiveness yet exists. In our prospective, randomized, controlled trial 78 participants were enrolled. Patients were randomly assigned based on the day of admission to two groups according to treatment: group SS (n = 43) received intravenous systemic methylprednisolone alone, and group CT (n = 35) received intratympanic dexamethasone + systemic methylprednisolone. The primary outcome was to compare the hearing outcomes between the treatment groups based on different, widely accepted categories (Siegel, Kanzaki, modified Siegel and PTA4 gain). In consideration of the secondary outcome, we examined the effect of the various risk factors on the hearing improvement. No differences were detected regarding hearing improvement between the two groups, based on any criteria [Siegel's criteria (p = 0.604); Kanzaki's criteria (p = 0.720); modified Siegel's criteria (p = 0.524) and PTA 4 gain (p = 0.569)]. However, several clinical factors such as vertigo (p = 0.039), or cardiovascular comorbidity (p = 0.02) and the severity of initial hearing loss (p = 0.033) were found to bear a significant impact upon the hearing outcome. To the best of our knowledge, this is the first randomized controlled trial comparing high dose systemic and combination corticosteroid therapy in ISSNHL patients. Our findings suggest coexisting cardiovascular comorbidity, vertigo and severity of the initial hearing loss may bear a significantly higher impact upon hearing improvement, than the additional intratympanic steroid administration. The presented trial was registered in the European Union Drug Regulating Authorities Clinical Trials Database (name: Combinated systemic and intratympanic steroid therapy in idiopathic sudden sensorineural hearing loss, No.: 2017-000658-20) and with the ethical approval of The National Institute of Pharmacy and Nutrition (OGYÉI) (protocol No.: 7621, on 2017.02.16.).}, keywords = {risk factor; steroid; Sudden hearing loss; Intratympanic injection}, year = {2024}, eissn = {1532-818X}, orcid-numbers = {Lippai, Bálint/0009-0004-9117-1063} } @article{MTMT:33806009, title = {Matching the pitch perception of the cochlear implanted ear with the contralateral ear in patients with single-sided deafness: a novel approach}, url = {https://m2.mtmt.hu/api/publication/33806009}, author = {Tóth, Tamás Ferenc and Németh, Adrienn and Bakó, Péter and Révész, Péter and Gerlinger, Imre and Szanyi, István}, doi = {10.1007/s00405-023-08002-z}, journal-iso = {EUR ARCH OTO-RHINO-L}, journal = {EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY}, volume = {280}, unique-id = {33806009}, issn = {0937-4477}, year = {2023}, eissn = {1434-4726}, pages = {4851-4859} } @article{MTMT:33728524, title = {Quality-of-life outcomes with endoscopic and microscopic type I tympanoplasty-a prospective cohort study}, url = {https://m2.mtmt.hu/api/publication/33728524}, author = {Pap, István and Kovács, Márton and Bölcsföldi, Barbara and Szakács, Zsolt and Gerlinger, Imre and Imreh, Bence and Szántóné Csongor, Alexandra and Warta, Vilmos and Szanyi, István}, doi = {10.1007/s00405-023-07938-6}, journal-iso = {EUR ARCH OTO-RHINO-L}, journal = {EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY}, volume = {280}, unique-id = {33728524}, issn = {0937-4477}, abstract = {Endoscopic type I tympanoplasty was originally introduced in the 1990s and the extensive spread of this practice can be easily observed. The conventional technique performed involves the repair of a tympanic membrane perforation and is defined as microscopic type I tympanoplasty. The aim of this study is the comparison of quality-of-life (QoL) outcomes with endoscopic to that with microscopic type I tympanoplasty.All patients, or in the case of children with the aid of a parent, were asked to complete a novel QoL questionnaire drafted by our study group. The analysis was performed with descriptive statistics-mean, SD and relative frequency-and with a mixed model (generalized least squares fit). A two-sided p value of < 0.05 was regarded as statistically significant.A total of 83 patients completed the questionnaire, 38 in the endoscopic group and 45 in the microscopic group. Every question represented a different. A statistically significant result was found in favor of the endoscopic approach regarding average hospitalization rate (p = 0.003) and cosmetic outcomes (p = 0.015). No statistically significant difference was otherwise observed between the groups.Based on our prospective cohort study, the QoL outcomes of endoscopic type I tympanoplasty in terms of postoperative pain, headache, nausea, vomiting, dizziness, taste disorder and hearing were comparable to the microscopic type I tympanoplasty. In regard to cosmetics, an increase in desirable results was achieved in the endoscopic group, particularly the average hospitalization rate proved to be statistically significantly lower than in the microscopic group.}, keywords = {Quality of Life; Treatment Outcome; endoscopy; Cosmetics; tympanoplasty; myringoplasty}, year = {2023}, eissn = {1434-4726}, pages = {4401-4408}, orcid-numbers = {Szakács, Zsolt/0000-0002-7035-941X} } @article{MTMT:33255083, title = {Tág aquaeductus vestibuli okozta harmadikablak-szindróma komplex sebészeti ellátása}, url = {https://m2.mtmt.hu/api/publication/33255083}, author = {Szabó, Éva and Molnár, Krisztián and Kovács, Márton and Németh, Adrienn and Beke, Zsolt and Gerlinger, Imre and Szanyi, István and Bakó, Péter}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {68}, unique-id = {33255083}, issn = {0016-237X}, year = {2022}, pages = {153-155} } @article{MTMT:33255050, title = {III. típusú inkomplett partíció - a cochlea ritka fejlődési rendellenessége, amely komoly kihívás a cochlearis implantációt végzőknek}, url = {https://m2.mtmt.hu/api/publication/33255050}, author = {Gerlinger, Imre and Bakó, Péter and Németh, Adrienn and Szanyi, István and Perényi, Ádám and Horváth, Bence and Rovó, László}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {68}, unique-id = {33255050}, issn = {0016-237X}, year = {2022}, pages = {147-152} } @article{MTMT:33255034, title = {A térbeli szemlélet szerepe az otoneurológiában}, url = {https://m2.mtmt.hu/api/publication/33255034}, author = {Harmat, Kinga and Tamás, T. László and Michael, C. Schubert and Szanyi, István and Gerlinger, Imre and Komoly, Sámuel and Büki, Béla}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {68}, unique-id = {33255034}, issn = {0016-237X}, year = {2022}, pages = {141-146} } @article{MTMT:33202705, title = {Subtotal Petrosectomy and Cochlear Implantation in Children With Chronic Suppurative Otitis Media: A Single Institutional Experience}, url = {https://m2.mtmt.hu/api/publication/33202705}, author = {Bakó, Péter and Kovács, Márton and Uzsaly, János Gáspár and Burián, András and Bodzai, Greta and Németh, Adrienn and Tóth, Arnold and Szanyi, István and Gerlinger, Imre}, doi = {10.7874/jao.2022.00220}, journal-iso = {Journal of Audiology and Otology}, journal = {Journal of Audiology and Otology}, volume = {26}, unique-id = {33202705}, issn = {2384-1621}, abstract = {Chronic suppurative otitis media (CSOM) with or without cholesteatoma is a frequent chronic inflammatory condition in children, which may lead to severe hearing loss that affects speech development. Treatment of recurrent CSOM associated with unserviceable hearing requires a specialized approach with regard to disease eradication and hearing rehabilitation. In this study, we investigated the advantages of subtotal petrosectomy (SP) combined with cochlear implantation (CI) in children with CSOM associated with unserviceable hearing and describe our experience with regard to the efficacy of this method, together with a literature review.SP with sequential or simultaneous CI was performed in three children (four ears), and postoperative audiometric data were recorded.The study included two male and one female patient. Mean age at the time of SP was 10.75 years (7-13 years). Sequential implantation was performed in three ears. Facial nerve palsy occurred after SP in one patient. The latest word recognition scores of Cases 1, 2, and 3 were 80% (at 60 dB), 75% (at 60 dB), and 70% (at 50 dB) and 90% (at 50 dB), respectively.SP with CI may be safe and reliable in children with CSOM associated with unserviceable hearing.}, keywords = {Otologic Surgical Procedures; cochlear implantation; otitis media; Correction of hearing impairment; Suppurative}, year = {2022}, pages = {214-222} } @article{MTMT:33079688, title = {A szelektív epitympanalis dysventilatiós szindróma műtéti megoldása.}, url = {https://m2.mtmt.hu/api/publication/33079688}, author = {Bölcsföldi, T Barbara and Pap, István and Tóth, Tamás Ferenc and Tóth, István and Révész, Péter and Gerlinger, Imre and Szanyi, István}, doi = {10.1556/650.2022.32563}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {163}, unique-id = {33079688}, issn = {0030-6002}, abstract = {The selective epitympanic dysventilation syndrome is a new theory of the cholesteatoma formation, the description of which was allowed by a minimally invasive surgical technique - the transcanal endoscopic ear surgery - some years ago. The transcanal endoscopic ear surgery provided the possibility of a certain amount of detailed anatomical knowledge to identify the new factor behind this process, namely obstruction of the ventilation pathways of the middle ear. Our goal was to draw the ear surgeons' attention to this clinical picture as cholesteatoma development and subsequent worsening of the quality of life caused by ear discharge and conductive hearing loss may be reversible or preventable. We make the syndrome more understandable by using our own anatomical drawings. In this paper, the authors present a case of selective epitympanic dysventilation syndrome, and emphasize the importance of recognition and the endoscopic ear surgical treatment as well as review the international literature. Orv Hetil. 2022; 163(36): 1440-1446.}, keywords = {Minimally invasive; cholesteatoma; endoscopic ear surgery; dysventilatio; dysventilation; endoszkópos fülsebészet; minimálinvazív}, year = {2022}, eissn = {1788-6120}, pages = {1440-1446} } @article{MTMT:32838757, title = {Mastoidobliterációhoz használt csontpor és bioaktív üveggranulátum a cholesteatoma sebészetében.}, url = {https://m2.mtmt.hu/api/publication/32838757}, author = {Gerlinger, Imre and Szabó, Éva and Szanyi, István and Rostás, Tamás and Pap, István and Révész, Péter and Kopjár, Eszter}, doi = {10.1556/650.2022.32477}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {163}, unique-id = {32838757}, issn = {0030-6002}, abstract = {Mastoid obliteration technique combines the advantages of canal wall-up (CWU) and canal wall-down (CWD) approaches in the surgery of chronic suppurative otitis media with cholesteatoma. We aim to demonstrate our experience with mastoid obliteration technique using bone dust and BonAlive® (S53P4) bioactive glass granule in a comparative prospective clinical study.Between 1st of March 2012 and 31st of November 2021, mastoid obliteration surgery was performed in 14 patients using bone dust (7 cases) and BonAlive® granule (7 cases). Prior to these interventions, the patients had undergone more than three ear surgeries (CWU and CWD) generally in both groups. Changes of complaints, audiological results, and changes in quality of life were analysed in both groups, postoperatively.Having performed the mastoid obliteration technique, cochlear damage did not occur in either patient group. Long-term ear discharge and vertigo were occasionally observed after performing obliteration with bone dust. However, these complaints disappeared after a while. Complications were not reported in the case of obliteration with BonAlive®. Outstanding improvement was experienced in both groups.In our practice, mastoid obliteration surgery, using either bone dust or BonAlive® granule, has proved to be a safe and effective method in the management of chronic suppurative otitis media with cholesteatoma, resulting in continuous putrid ear discharge after CWU or CWD tympanoplasty. Obliteration with BonAlive® granule provides several advantages for patients, such as antibacterial effect, osteoconductive effect ensuring frame for bone growth and osteoproductive effect stimulating the ossification. Orv Hetil. 2022; 163(21): 838-845.}, keywords = {Sensorineural hearing loss; conductive hearing loss; Bone pate; vezetéses halláscsökkenés; BonAlive® granules; BonAlive® granulátum; canal wall-down tympanoplasty; canal wall-up tympanoplasty; csontpor; idegi halláscsökkenés; kevert típusú halláscsökkenés; mixed-type hearing loss; nyitott technikájú tympanoplastica; zárt technikájú tympnoplastica}, year = {2022}, eissn = {1788-6120}, pages = {838-845} }