@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:32630827, title = {Prevalence of and Theoretical Explanation for Type 2 Benign Paroxysmal Positional Vertigo}, url = {https://m2.mtmt.hu/api/publication/32630827}, author = {Harmat, Kinga and Tamás, László T and Schubert, Michael C and Gerlinger, Imre and Komoly, Sámuel and Büki, Béla}, doi = {10.1097/NPT.0000000000000383}, journal-iso = {J NEUROL PHYS THER}, journal = {JOURNAL OF NEUROLOGIC PHYSICAL THERAPY}, volume = {46}, unique-id = {32630827}, issn = {1557-0576}, abstract = {A variant of benign paroxysmal positional vertigo (BPPV) involves the subjective report of vertigo without the coinciding nystagmus. This presentation includes truncal retropulsion when sitting up from the ipsilesional provocative test (ie, Dix-Hallpike), which we term type 2 BPPV. The primary objective of this study is to prospectively determine the prevalence and describe the clinical course of type 2 BPPV. We offer a theoretical explanation for the absence of nystagmus.Prospective, observational study carried out in 2 tertiary hospitals. One hundred eighty patients (134 women, 46 men) met the inclusion criteria and were included between January 10, 2018, and October 30, 2019. Efficacy of physical therapy maneuvers was determined at 1-week follow-up. Three-dimensional reconstructions of the planes of the semicircular canal cupula from histological preparations are offered as evidence for the theoretical explanation.One-third of the patients met the criteria for type 2 BPPV; the remainder had typical posterior or horizontal semicircular canal involvement. Symptoms from type 2 BPPV were longer in duration yet responded favorably to physical therapy maneuvers. Upon repeat testing, 19 patients treated for posterior canalithiasis developed a slight, persistent positional downbeat nystagmus in the Dix-Hallpike position that we propose as evidence the otoconia entered the short arm of the posterior semicircular canal.Our data and 3-dimensional rendering suggest the report of vertigo, yet absent nystagmus in type 2 BPPV is from otoconia aligning with the gravitoinertial vector during provocative testing that precludes cupular stimulation. Type 2 BPPV appears to be a common and treatable form of vertigo.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1 available at: http://links.lww.com/JNPT/A372).}, year = {2022}, eissn = {1557-0584}, pages = {88-95} } @article{MTMT:32508864, title = {Az endoszkópos I-es típusú tympanoplastica ugyanolyan hatékony, mint a mikroszkópos I-es típusú tympanoplastica, de kevésbé invazív - Metaanalízis}, url = {https://m2.mtmt.hu/api/publication/32508864}, author = {Pap, István and Tóth, István and Szakács, Zsolt and Gede, Noémi and Koukkoullis, Alexandros and Révész, Péter and Harmat, Kinga and Németh, Adrienn and Lujber, László and Bocskai, Tímea and Hegyi, Péter and Varga, Gábor and Gerlinger, Imre and Szanyi, István}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {67}, unique-id = {32508864}, issn = {0016-237X}, year = {2021}, pages = {139-146}, orcid-numbers = {Szakács, Zsolt/0000-0002-7035-941X; Hegyi, Péter/0000-0003-0399-7259} } @article{MTMT:30917291, title = {Endoscopic versus microscopic stapes surgery outcomes : A meta-analysis and systematic review}, url = {https://m2.mtmt.hu/api/publication/30917291}, author = {Koukkoullis, Alexandros and Tóth, István and Gede, Noémi and Szakács, Zsolt and Hegyi, Péter and Varga, Gábor and Pap, István and Harmat, Kinga and Németh, Adrienn and Szanyi, István and Lujber, László and Gerlinger, Imre and Révész, Péter}, doi = {10.1002/lary.28353}, journal-iso = {LARYNGOSCOPE}, journal = {LARYNGOSCOPE}, volume = {130}, unique-id = {30917291}, issn = {0023-852X}, abstract = {Compare intraoperative and postoperative outcomes of endoscopic and microscopic stapes surgery to provide objective evidence on whether the former is a better alternative than the latter.We performed a systematic review and meta-analysis for studies that compared endoscopic stapes surgery with microscopic stapes surgery. Only studies that met predetermined criteria were selected and assessed for bias and quality. Primary outcomes were postoperative air-bone gap (ABG) and chorda tympani nerve injury. Secondary outcomes were average operating time, tympanic membrane (TM) perforation, and postoperative taste disturbance, pain, and dizziness. We calculated pooled odds ratios (ORs) with 95% confidence intervals (CIs) for dichotomous outcomes and weighted mean difference (WMD) with 95% CI for continuous outcomes. A confidence interval starting above 1.0 was considered as statistically significant. I2 and χ2 tests were used to quantify statistical heterogeneity. We used funnel plots to look for publication bias and performed a sensitivity analysis.Six nonrandomized cohort studies were eligible. The primary outcomes were ABG < 10 dB: OR = 1.80 (95% CI: 0.96 to 3.38), ABG = 11 dB to 20 dB: OR = 1.49 (95% CI: 0.76 to 2.93), ABG > 20 dB: OR = 2.51 (95% CI: 0.77 to 8.22), and chorda tympani injury: OR = 3.51 (95% CI: 1.55 to 7.93). Secondary outcomes were taste: OR = 2.36 (95% CI: 1.01 to 5.51), average operation time: WMD = 0.14 (95% CI: -11.69 to 11.98), TM perforation: OR = 1.70 (95% CI: 0.44 to 6.58); pain: OR = 0.84 (95% CI: 0.36 to 1.96), and dizziness: OR = 2.15 (95% CI: 0.94 to 4.89).Endoscopic stapes surgery is a valid alternative to the microscope.2a Laryngoscope, 2019.}, keywords = {otosclerosis; stapedectomy; Endoscopic; Stapedotomy; microscopic}, year = {2020}, eissn = {1531-4995}, pages = {2019-2027}, orcid-numbers = {Szakács, Zsolt/0000-0002-7035-941X; Hegyi, Péter/0000-0003-0399-7259; Varga, Gábor/0000-0002-5506-8198} } @article{MTMT:30765199, title = {A Cochlearis Implantáltak Funkcionális Indexe (CIFI) magyarországi bevezetésével szerzett kezdeti tapasztalatok}, url = {https://m2.mtmt.hu/api/publication/30765199}, author = {Bodzai, Gréta and Kovács, Márton and Uzsaly, János Gáspár and Harmat, Kinga and Németh, Adrienn and Koukkoullis, Alexandros and Gerlinger, Imre and Bakó, Péter}, doi = {10.1556/650.2019.31453}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {160}, unique-id = {30765199}, issn = {0030-6002}, abstract = {Introduction: The success of cochlear implantation can be evaluated with audiological measurements and quality of life questionnaires. Aim: Our aim was to translate and introduce the Cochlear Implant Function Index (CIFI) test to analyze the physical, psychological and social state of our cochlear implant patients. Method: Between 01. 11. 2016 and 31. 05. 2018, 30 patients filled the questionnaire before and 6 and 12 months after the implantation. Results and conclusion: Results showed a remarkable improvement in the quality of life in several patients even after 6 months. Further improvements could be measured after 12 months. Orv Hetil. 2019; 160(33): 1296-1303.}, keywords = {Quality of Life; Sensorineural hearing loss; cochlear implantation; életminőség; cochlearis implantáció; hallásrehabilitáció; hearing rehabilitation; sensorineuralis halláscsökkenés}, year = {2019}, eissn = {1788-6120}, pages = {1296-1303} } @article{MTMT:30754295, title = {Endoscopic Type I Tympanoplasty is as Effective as Microscopic Type I Tympanoplasty but Less Invasive - a Meta-Analysis}, url = {https://m2.mtmt.hu/api/publication/30754295}, author = {Pap, István and Tóth, István and Gede, Noémi and Hegyi, Péter and Szakács, Zsolt and Koukkoullis, Alexandros and Révész, Péter and Harmat, Kinga and Németh, Adrienn and Lujber, László and Gerlinger, Imre and Bocskai, Tímea and Varga, Gábor and Szanyi, István}, doi = {10.1111/coa.13407}, journal-iso = {CLIN OTOLARYNGOL ALL}, journal = {CLINICAL OTOLARYNGOLOGY}, volume = {44}, unique-id = {30754295}, issn = {1749-4478}, 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 postoperative outcomes of both the endoscopic and the microscopic type I tympanoplasty.We conducted a meta-analysis in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.A systematic literature search was performed in the databases of PubMed, Embase, Cochrane Library, Clarivate Analytics-Web of Science, ClinicalTrials. gov, World Health Organization Library, and Scopus by inserting, "myringoplasty OR (tympanoplasty AND perforation)" into the search query. We applied only a "human" filter. We excluded non-English studies. Additional records were identified by checking the references of relevant studies.Comparative studies were included in our analysis. We calculated the pooled odds ratio (OR) with 95% confidence interval (CI) for dichotomous outcomes and weighted mean difference (WMD) with a 95% CI for continuous outcomes. Additionally, we assessed the risk of bias, and estimated the quality of evidence for each outcome.Our systematic search yielded 16 studies (involving 1179 interventions), eligible for analysis. The pooled graft uptake rate (OR: 1.21, CI: 0.82-1.77; I2 =0.0%), the postoperative hearing results (WMD=-1.13; 95% CI: -2.72-0.45; I2 =78.1%) and the operation time (WMD=-21.11; 95% CI: -42.60-0.38; I2 =99.3%), were all comparable among the two techniques. In contrast, the endoscopic type I tympanoplasty outperforms when regarding the pooled canaloplasty rate (OR=7.96; 95% CI: 4.30-14.76; I2 =0.0%, p=1.000) and features an increase in desirable cosmetic results (OR=19.29; 95% CI: 11.37-32.73; I2 =0.0%, p=0.839), when compared with the microscopic approach.Based on our meta-analysis, the surgical outcomes of endoscopic type I tympanoplasty in terms of graft uptake rate, postoperative hearing results and operation time were comparable to the microscopic type I tympanoplasty. In regards to cosmetics, an increase in desirable results was achieved in the endoscopic group, particularly the incidence of canaloplasty which proved to be significantly lower. This article is protected by copyright. All rights reserved.}, keywords = {Treatment Outcome; endoscopy; Cosmetics; Operative Time; tympanoplasty; myringoplasty; Tympanic Membrane Perforation}, year = {2019}, eissn = {1749-4486}, pages = {942-953}, orcid-numbers = {Hegyi, Péter/0000-0003-0399-7259; Szakács, Zsolt/0000-0002-7035-941X; Varga, Gábor/0000-0002-5506-8198} } @article{MTMT:30716282, title = {Cervicalis vertigo – létező kórkép vagy fikció?}, url = {https://m2.mtmt.hu/api/publication/30716282}, author = {Végh, Ildikó and Harmat, Kinga and Gerlinger, Imre}, doi = {10.1556/650.2019.31409}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {160}, unique-id = {30716282}, issn = {0030-6002}, abstract = {The existence of cervical vertigo is still a question under debate. The basic hypothesis of the disease is that the abnormalities of the neck cause dizziness. The name itself is not accurate, as on the basis of the descriptions we cannot talk about true vertigo. The most common symptoms of cervical vertigo are cervical pain or discomfort, imbalance or dizziness and limitation of cervical movement. The origin of the disease is unclear. Based on the literature, there are four most accepted hypotheses: neurovascular, vascular, proprioceptive theory and migraine-associated cervicogenic vertigo. Of these, the neurovascular theory has already been discredited and its existence is clearly disproved. When diagnosing cervical vertigo, we always face the following difficulties: there is no diagnostic method specific to the disease, pathognomic clinical elements are unavailable, no clear therapeutic recommendation exists. The diagnosis of the disease requires the exclusion of alternatives, but the possibility of the existance of psychogenic vertigo causes further difficulties for the clinicians. Regarding the treatment, the combination of manual therapies and vestibular rehabilitation seems to be the most effective. Orv Hetil. 2019; 160(25): 967-972.}, keywords = {vascular; vertigo; Neck Pain; proprioception; nyaki fájdalom; Cervical; cervicalis; propriocepció; vascularis}, year = {2019}, eissn = {1788-6120}, pages = {967-972} } @article{MTMT:30712633, title = {A Menière-betegség etiológiája, diagnózisa és terápiája ̶ Irodalmi áttekintés}, url = {https://m2.mtmt.hu/api/publication/30712633}, author = {Kalinics, Péter and Gerlinger, Imre and Harmat, Kinga}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {65}, unique-id = {30712633}, issn = {0016-237X}, year = {2019}, pages = {49-55} } @article{MTMT:30650385, title = {A hirtelen halláscsökkenés javulásában szerepet játszó prognosztikai faktorok vizsgálata}, url = {https://m2.mtmt.hu/api/publication/30650385}, author = {Kovács, Márton and Uzsaly, János Gáspár and Bodzai, Gréta and Harmat, Kinga and Németh, Adrienn and Gerlinger, Imre and Bakó, Péter}, doi = {10.1556/650.2019.31368}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {160}, unique-id = {30650385}, issn = {0030-6002}, abstract = {Sudden sensorineural hearing loss is defined as a greater than 30 dB deterioration in at least 3 consecutive frequencies occurring within 72 hours. The disease is mostly idiopathic and needs an urgent treatment. Between 01. 01. 2015 and 31. 12. 2016, 149 patients with sudden hearing loss were admitted to the Department of Otorhinolaryngology, University of Pécs. The epidemiological data, the prognostic factors and the outcome of the treatment were retrospectively analyzed. Isolated high frequency (p = 0.012) and less severe hearing loss (p<0.001), older age (p = 0.005), comorbodities like cardiovascular disease (p = 0.009) and diabetes (p = 0.029) were found as negative prognostic factors. Time of introduction of the treatment, gender, and side of the affected ear did not influence the outcome. Our finding was mainly congruent to the literature. Orv Hetil. 2019; 160(18): 687-693.}, keywords = {tinnitus; audiology; AUDIOLOGIA; Idiopathic; belsőfül-betegségek; hirtelen halláscsökkenés; idiopathiás; inner ear diseases; sudden sensorineural hearing loss}, year = {2019}, eissn = {1788-6120}, pages = {687-693} } @article{MTMT:30354163, title = {Cochlear implantation in patients afflicted with inner ear malformations–the Pécs experience}, url = {https://m2.mtmt.hu/api/publication/30354163}, author = {Bakó, Péter and Németh, Adrienn and Molnár, Krisztián and Toth, T and Harmat, Kinga and Ráth, Gábor and Gerlinger, Imre}, doi = {10.1080/21695717.2018.1539315}, journal-iso = {HEARING, BALANCE AND COMMUNICATION}, journal = {HEARING, BALANCE AND COMMUNICATION}, volume = {16}, unique-id = {30354163}, issn = {2169-5717}, year = {2018}, eissn = {2169-5725}, pages = {232-237} }