TY - JOUR AU - Harmat, Kinga AU - Tamás, T. László AU - Michael, C. Schubert AU - Szanyi, István AU - Gerlinger, Imre AU - Komoly, Sámuel AU - Büki, Béla TI - A térbeli szemlélet szerepe az otoneurológiában JF - FÜL-ORR-GÉGEGYÓGYÁSZAT J2 - FÜL-ORR-GÉGEGYÓGYÁSZAT VL - 68 PY - 2022 IS - 4 SP - 141 EP - 146 PG - 6 SN - 0016-237X UR - https://m2.mtmt.hu/api/publication/33255034 ID - 33255034 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Harmat, Kinga AU - Tamás, László T AU - Schubert, Michael C AU - Gerlinger, Imre AU - Komoly, Sámuel AU - Büki, Béla TI - Prevalence of and Theoretical Explanation for Type 2 Benign Paroxysmal Positional Vertigo JF - JOURNAL OF NEUROLOGIC PHYSICAL THERAPY J2 - J NEUROL PHYS THER VL - 46 PY - 2022 IS - 2 SP - 88 EP - 95 PG - 8 SN - 1557-0576 DO - 10.1097/NPT.0000000000000383 UR - https://m2.mtmt.hu/api/publication/32630827 ID - 32630827 AB - 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). LA - English DB - MTMT ER - TY - JOUR AU - Pap, István AU - Tóth, István AU - Szakács, Zsolt AU - Gede, Noémi AU - Koukkoullis, Alexandros AU - Révész, Péter AU - Harmat, Kinga AU - Németh, Adrienn AU - Lujber, László AU - Bocskai, Tímea AU - Hegyi, Péter AU - Varga, Gábor AU - Gerlinger, Imre AU - Szanyi, István TI - Az endoszkópos I-es típusú tympanoplastica ugyanolyan hatékony, mint a mikroszkópos I-es típusú tympanoplastica, de kevésbé invazív - Metaanalízis JF - FÜL-ORR-GÉGEGYÓGYÁSZAT J2 - FÜL-ORR-GÉGEGYÓGYÁSZAT VL - 67 PY - 2021 IS - 4 SP - 139 EP - 146 PG - 8 SN - 0016-237X UR - https://m2.mtmt.hu/api/publication/32508864 ID - 32508864 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Koukkoullis, Alexandros AU - Tóth, István AU - Gede, Noémi AU - Szakács, Zsolt AU - Hegyi, Péter AU - Varga, Gábor AU - Pap, István AU - Harmat, Kinga AU - Németh, Adrienn AU - Szanyi, István AU - Lujber, László AU - Gerlinger, Imre AU - Révész, Péter TI - Endoscopic versus microscopic stapes surgery outcomes : A meta-analysis and systematic review JF - LARYNGOSCOPE J2 - LARYNGOSCOPE VL - 130 PY - 2020 IS - 8 SP - 2019 EP - 2027 PG - 9 SN - 0023-852X DO - 10.1002/lary.28353 UR - https://m2.mtmt.hu/api/publication/30917291 ID - 30917291 N1 - * Megosztott szerzőség AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Bodzai, Gréta AU - Kovács, Márton AU - Uzsaly, János Gáspár AU - Harmat, Kinga AU - Németh, Adrienn AU - Koukkoullis, Alexandros AU - Gerlinger, Imre AU - Bakó, Péter TI - A Cochlearis Implantáltak Funkcionális Indexe (CIFI) magyarországi bevezetésével szerzett kezdeti tapasztalatok JF - ORVOSI HETILAP J2 - ORV HETIL VL - 160 PY - 2019 IS - 33 SP - 1296 EP - 1303 PG - 8 SN - 0030-6002 DO - 10.1556/650.2019.31453 UR - https://m2.mtmt.hu/api/publication/30765199 ID - 30765199 AB - 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. LA - Hungarian DB - MTMT ER - TY - JOUR AU - Pap, István AU - Tóth, István AU - Gede, Noémi AU - Hegyi, Péter AU - Szakács, Zsolt AU - Koukkoullis, Alexandros AU - Révész, Péter AU - Harmat, Kinga AU - Németh, Adrienn AU - Lujber, László AU - Gerlinger, Imre AU - Bocskai, Tímea AU - Varga, Gábor AU - Szanyi, István TI - Endoscopic Type I Tympanoplasty is as Effective as Microscopic Type I Tympanoplasty but Less Invasive - a Meta-Analysis JF - CLINICAL OTOLARYNGOLOGY J2 - CLIN OTOLARYNGOL ALL VL - 44 PY - 2019 IS - 6 SP - 942 EP - 953 PG - 12 SN - 1749-4478 DO - 10.1111/coa.13407 UR - https://m2.mtmt.hu/api/publication/30754295 ID - 30754295 N1 - * Megosztott szerzőség AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Végh, Ildikó AU - Harmat, Kinga AU - Gerlinger, Imre TI - Cervicalis vertigo – létező kórkép vagy fikció? JF - ORVOSI HETILAP J2 - ORV HETIL VL - 160 PY - 2019 IS - 25 SP - 967 EP - 972 PG - 6 SN - 0030-6002 DO - 10.1556/650.2019.31409 UR - https://m2.mtmt.hu/api/publication/30716282 ID - 30716282 AB - 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. LA - Hungarian DB - MTMT ER - TY - JOUR AU - Kalinics, Péter AU - Gerlinger, Imre AU - Harmat, Kinga TI - A Menière-betegség etiológiája, diagnózisa és terápiája ̶ Irodalmi áttekintés JF - FÜL-ORR-GÉGEGYÓGYÁSZAT J2 - FÜL-ORR-GÉGEGYÓGYÁSZAT VL - 65 PY - 2019 IS - 2 SP - 49 EP - 55 PG - 7 SN - 0016-237X UR - https://m2.mtmt.hu/api/publication/30712633 ID - 30712633 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Kovács, Márton AU - Uzsaly, János Gáspár AU - Bodzai, Gréta AU - Harmat, Kinga AU - Németh, Adrienn AU - Gerlinger, Imre AU - Bakó, Péter TI - A hirtelen halláscsökkenés javulásában szerepet játszó prognosztikai faktorok vizsgálata JF - ORVOSI HETILAP J2 - ORV HETIL VL - 160 PY - 2019 IS - 18 SP - 687 EP - 693 PG - 7 SN - 0030-6002 DO - 10.1556/650.2019.31368 UR - https://m2.mtmt.hu/api/publication/30650385 ID - 30650385 AB - 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. LA - Hungarian DB - MTMT ER - TY - JOUR AU - Bakó, Péter AU - Németh, Adrienn AU - Molnár, Krisztián AU - Toth, T AU - Harmat, Kinga AU - Ráth, Gábor AU - Gerlinger, Imre TI - Cochlear implantation in patients afflicted with inner ear malformations–the Pécs experience JF - HEARING, BALANCE AND COMMUNICATION J2 - HEARING, BALANCE AND COMMUNICATION VL - 16 PY - 2018 IS - 4 SP - 232 EP - 237 PG - 6 SN - 2169-5717 DO - 10.1080/21695717.2018.1539315 UR - https://m2.mtmt.hu/api/publication/30354163 ID - 30354163 LA - English DB - MTMT ER -