@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:32604752, title = {Transorbitomaxillaris percutan endoszkópos gastrostomia}, url = {https://m2.mtmt.hu/api/publication/32604752}, author = {Pap, István and Jakab-Péter, Kinga and Uzsaly, János Gáspár and Tóth, István and Barabás, Márta-Andrea and Fábián, György and Lujber, László}, doi = {10.1556/650.2022.32286}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {163}, unique-id = {32604752}, issn = {0030-6002}, abstract = {Összefoglaló. Fej-nyaki daganattal diagnosztizált és kezelt betegeknél a szájon keresztüli táplálás gyakran nem lehetséges vagy nehezítetté válik a kezelés valamelyik fázisában. A beteg enteralis táplálásának biztosítására tartós és hatékony megoldást kell nyújtanunk, erre megfelelő választás lehet a percutan endoszkópos gastrostomia. A fej-nyaki régióban a daganat elhelyezkedése, kiterjedtsége és a műtétek miatt megváltozott anatómiai viszonyok sokszor gátat szabnak a gasztroszkóp hagyományos, szájon át történő sikeres levezetésének, és így különleges megoldásokra lehet szükség. Közleményünkben egy, a szakirodalomban is ritkán alkalmazott percutan endoszkópos gastrostomakészítésről számolunk be. A bemutatott esetben egy kiterjedt, rosszindulatú fej-nyaki daganat miatt totális maxillectomián és orbitaexenteratión átesett betegben a műtét következtében kialakult arcdefektuson át történt a gastroscopia és a tápszonda levezetése, ugyanis komplett szájzár következtében a beteg a táplálkozásra képtelen volt. A fent említett módszerrel sikerült a beteg hosszú távú enteralis táplálását megoldani minimálinvazív módon. Az összetett kóros esetek gyakran állítják kihívások elé a gyakorló klinikust. Esetbemutatásunkkal szeretnénk felhívni a figyelmet a hagyományos, megszokott módszerek helyett sokszor nagyobb sikerrel alkalmazható, személyre szabott terápiás lehetőségekre. Orv Hetil. 2022; 163(3): 116-119. Summary. Peroral, enteral feeding is often impossible in patients with head and neck cancer. Percutaneous endoscopic gastrostomy is a well-established, quick, minimally invasive, and safe procedure for providing long-term enteral feeding. Space-occupying tumour mass and altered anatomy due to surgery inhibit the gastroscope's peroral introduction and the feeding tube's placement in some instances. Various access routes and modified insertion techniques are recommended to overcome the feeding tube insertion challenges. We present a rare case of a 64-year-old head and neck cancer patient who was unable to eat orally due to trismus and had a facial soft tissue defect following total maxillectomy and orbital exenteration. A complete oesophago-gastro-duodenoscopy and feeding tube insertion were performed transfacially. Percutaneous endoscopic gastrostomy was successful and uneventful via the maxillary and orbital soft tissue facial defect. No complication was noted, and long-term enteral feeding of the patient was provided in a minimally invasive way. Surgeons often face challenging cases when treating patients with head and neck cancer. The modification of standard procedures is sometimes required to adapt surgical techniques to the patient's specific case. Orv Hetil. 2022; 163(3): 116-119.}, keywords = {Head and neck cancer; percutaneous endoscopic gastrostomy; orbital exenteration; fej-nyaki tumor; maxillectomia; maxillectomy; orbitalis exenteratio; percutan endoszkópos gastrostomia; transfacial; transfacialis}, year = {2022}, eissn = {1788-6120}, pages = {116-119} } @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:32106175, title = {Comparing intermediate-term hearing results of NiTiBOND and Nitinol prostheses in stapes surgery}, url = {https://m2.mtmt.hu/api/publication/32106175}, author = {Koukkoullis, Alexandros and Gerlinger, Imre and Kovács, A and Szakács, Zsolt and Piski, Zalán and Szanyi, István and Tóth, István and Révész, Péter}, doi = {10.1017/S0022215121001821}, journal-iso = {J LARYNGOL OTOL}, journal = {JOURNAL OF LARYNGOLOGY AND OTOLOGY}, volume = {135}, unique-id = {32106175}, issn = {0022-2151}, abstract = {To statistically analyse the hearing thresholds of two cohorts undergoing stapedotomy for otosclerosis with two different prostheses.A retrospective study was conducted comparing NiTiBOND (n = 53) and Nitinol (n = 38) prostheses.Average follow-up duration was 4.1 years for NiTiBOND and 4.4 years for Nitinol prostheses. The post-operative air-bone gap was 10 dB or less, indicating clinical success. The p-values for differences between (1) pre- and post-operative values in the NiTiBOND group, (2) pre- and post-operative values in the Nitinol group, (3) pre-operative values and (4) post-operative values in the two groups were: air-bone gap - p < 0.001, p < 0.001, p = 0.631 and p = 0.647; four-frequency bone conduction threshold - p = 0.076, p = 0.129, p < 0.001 and p = 0.005; four-frequency air conduction threshold - p < 0.001, p < 0.001, p = 0.043 and p = 0.041; three-frequency (1, 2 and 4 kHz) bone conduction threshold pre-operatively - p = 0.639, p = 0.495, p = 0.001 and p = 0.01; and air conduction threshold at 4 kHz: - p < 0.001, p < 0.001, p = 0.03 and p = 0.058.Post-operative audiological outcomes for NiTiBOND and Nitinol were comparable.}, keywords = {LASERS; nitinol; otosclerosis; Stapes Surgery; Stapes Fixation}, year = {2021}, eissn = {1748-5460}, pages = {795-798}, orcid-numbers = {Szakács, Zsolt/0000-0002-7035-941X; Piski, Zalán/0000-0003-2592-9652} } @article{MTMT:31641583, title = {A pars petrosa cholesteatomák korszerű ellátása Pécsi tapasztalatok}, url = {https://m2.mtmt.hu/api/publication/31641583}, author = {Gerlinger, Imre and Végh, Ildikó and Nepp, Nelli and Pap, István and Révész, Péter and Bakó, Péter and Szanyi, István and Rostás, Tamás and Tóth, István}, doi = {10.1556/650.2020.31879}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {161}, unique-id = {31641583}, issn = {0030-6002}, keywords = {dura mater; internal carotid artery; facial nerve; NERVUS FACIALIS; skull base surgery; hallásrehabilitáció; hearing rehabilitation; Jugular bulb; agyalapi sebészet; arteria carotis interna; bulbus venae jugularis; pars petrosa cholesteatoma; petrous bone cholesteatoma}, year = {2020}, eissn = {1788-6120}, pages = {1840-1848} } @article{MTMT:31629874, title = {Eosinophil otitis media – egy kevéssé ismert kórkép kezelési nehézségei}, url = {https://m2.mtmt.hu/api/publication/31629874}, author = {Révész, Péter and Gerlinger, Imre and Kálmán, Endre and Koukkoullis, Alexandros and Burián, András and Tóth, István}, doi = {10.1556/650.2020.31851}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {161}, unique-id = {31629874}, issn = {0030-6002}, keywords = {Eosinophilic otitis media; Subtotal petrosectomy; subtotalis petrosectomia; eosinophil otitis media; intratympanalis szteroid; intratympanic steroid}, year = {2020}, eissn = {1788-6120}, pages = {1769-1775} } @article{MTMT:31383609, title = {Cholesteatoma update 2019}, url = {https://m2.mtmt.hu/api/publication/31383609}, author = {Tóth, István and Pap, István and Gerlinger, Imre}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {66}, unique-id = {31383609}, issn = {0016-237X}, year = {2020}, pages = {9-18} } @article{MTMT:31269089, title = {Subtotalis petrosectomia – javallatok, műtéti technika, pécsi tapasztalatok}, url = {https://m2.mtmt.hu/api/publication/31269089}, author = {Gerlinger, Imre and Molnár, Krisztián and Nepp, Nelli and Tóth, István and Tóth, Tamás Ferenc and Szanyi, István and Bakó, Péter and Pap, István}, doi = {10.1556/650.2020.31691}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {161}, unique-id = {31269089}, issn = {0030-6002}, abstract = {Introduction: Subtotal petrosectomy (STP) has been known for decades and it is considered being on the borderline between ear and skull-base surgery. Due to its excessive radicalism and adverse effects on hearing, it has been a forgotten surgical technique until recently. Over the last decade, due to its many benefits and the ability to combine it with modern hearing rehabilitation methods, STP has reappeared, providing a definitive solution to a number of problematic middl-ear disorders. Aim: In our retrospective clinical study, we wanted to highlight the effectiveness of STP, analyzing the efficiency of this surgery for the first time in domestic patient records, and to report our own experiences to date. Method: We processed data from 45 surgeries on our 44 patients. In addition to presenting the various surgical indications, we review the steps of the operation, analyze the audiological results, including the various methods of hearing rehabilitation, and also analyze the complications that have occurred. Our results are also summarized in the light of international professional literature. Results: Of our 44 patients, 23 were female and 21 were male. Patients had a mean age of 44.6 ± 20.5 years and a mean follow-up of 23 ± 16 months. Of our patients, 25 (57%) had undergone at least two previous unsuccessful ear operations, and 6 (14%) had deafness before surgery. The most common indication was chronic otitis media with cholesteatoma. 13 patients underwent 14 cochlear implantations (23%), in addition 6 patients received bone anchored hearing aids (BAHA) (14%), and 2 patients (5%) underwent VSB (Vibrant Soundbridge) placement against the round window membrane. Complications occurred in 11 of our patients, the most common of which was cerebrospinal fluid leak (5 cases, 11%) and wound dehiscence (3 cases, 7%). Data from 3 patients were available for processing the audiological results. Conclusion: STP is an extremely favorable surgical solution for a number of middle-ear pathologies that have previously caused major problems. The main reason for its growing popularity is that it can be combined with a number of modern, effective methods of hearing rehabilitation. Orv Hetil. 2020; 161(14): 544-553.}, keywords = {cholesteatoma; Subtotal petrosectomy; hallásrehabilitáció; hearing rehabilitation; closure of external ear canal; hallójárat lezárása; műtéti üreg obliterációja; subtotalis petrosectomia; surgical cavity obliteration}, year = {2020}, eissn = {1788-6120}, pages = {544-553} } @article{MTMT:31180137, title = {Is the bispectral index monitoring protective against postoperative cognitive decline? A systematic review with meta-analysis}, url = {https://m2.mtmt.hu/api/publication/31180137}, author = {Bocskai, Tímea and Kovács, Márton and Szakács, Zsolt and Gede, Noémi and Hegyi, Péter and Varga, Gábor and Pap, István and Tóth, István and Révész, Péter and Szanyi, István and Németh, Adrienn and Gerlinger, Imre and Karádi, Kázmér and Lujber, László}, doi = {10.1371/journal.pone.0229018}, journal-iso = {PLOS ONE}, journal = {PLOS ONE}, volume = {15}, unique-id = {31180137}, issn = {1932-6203}, year = {2020}, eissn = {1932-6203}, orcid-numbers = {Szakács, Zsolt/0000-0002-7035-941X; Hegyi, Péter/0000-0003-0399-7259; Varga, Gábor/0000-0002-5506-8198} } @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} }