@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: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:32298322, title = {A Vibrant Soundbridge aktív középfül-implantátum történeti áttekintése és sebészi alkalmazásának lehetőségei = Historical overview and surgical applications of the Vibrant Soundbridge active middle ear implant}, url = {https://m2.mtmt.hu/api/publication/32298322}, author = {Tóth, Tamás Ferenc and Gerlinger, Imre and Bölcsföldi T., Barbara and Kellényi, György and Németh, Adrienn and Papp, István and Szanyi, István}, doi = {10.1556/650.2021.32216}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {162}, unique-id = {32298322}, issn = {0030-6002}, abstract = {Összefoglaló. A Vibrant Soundbridge aktív középfül-implantátum vezetéses, sensorineuralis és kevert típusú halláscsökkenés esetén is megoldást jelenthet a beteg hallásrehabilitációja során. Sensorineuralis halláscsökkenés esetén akkor indikálható, ha a légvezetéses hallásküszöb nem haladja meg a 80-85 dBHL-t a 3-4 kHz frekvenciákon, vezetéses, illetve kevert típusú halláscsökkenés esetén pedig akkor, ha a csontvezetéses hallásküszöb nem haladja meg a 45-65 dBHL-t a 0,5-4 kHz közti frekvenciatartományban. Az implantátum beültetését eleinte tisztán sensorineuralis halláscsökkenés esetén végezték, és csupán egyféleképpen történhetett: a rezgéskeltő rendszer oldalán lévő rögzítőcsipeszt rá kellett applikálni az incus hosszú nyújtványára. Azokra az esetekre, amikor a rezgéskeltő rögzítése nem kivitelezhető, különböző rögzítőelemeket (coupler) fejlesztettek ki. Az incusra való rögzítés hosszúnyújtvány-couplerrel, illetve rövidnyújtvány-couplerrel lehetséges. Vezetéses és kevert típusú halláscsökkenés esetén a kerek ablak membránjához is illeszthető a rendszer, előrehaladott otosclerosis esetén pedig a Soundbridge-implantáció stapedotomiával kiegészített változata ("power stapes") hozhat kielégítő halláseredményt. Ezek a technikák meglehetősen megnövelték a sebész szabadságát, így széles körben alkalmazott, megbízható megoldássá váltak. A Pécsi Tudományegyetem Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinikáján az elmúlt évtizedben számos incusvibroplastica történt, de kerekablak-vibroplasticára is több alkalommal sor került. A jelen összefoglaló tanulmányban a Vibrant Soundbridge implantátum technikai fejlődésének történeti áttekintésén felül az alkalmazható műtéti megoldásokat mutatjuk be. Orv Hetil. 2021; 162(40): 1619-1626. Summary. The Vibrant Soundbridge active middle ear implant can provide a reliable solution for hearing rehabilitation of patients with conductive, sensorineural or mixed hearing loss. For sensorineural hearing loss, the air conduction threshold of the patient should not be more increased than 80-85 dBHL at the range of 3-4 kHz, and for conductive and mixed hearing loss, the bone conduction threshold should not be more increased than 45-65 dBHL between 0.5 and 4 kHz. The standard surgical procedure was originally designed for purely sensorineural hearing loss, and the fixation clip of the vibrating transducer needed to be crimped onto the long process of the incus. In many cases, it is impossible to crimp the vibrator onto the incus. In order to solve such circumstances, fixation clips (couplers) have been developed. There are two options to crimp the device on the incus: applying a long process coupler or a short process coupler. For conductive or mixed hearing loss, a round window soft coupler has been introduced. In advanced otosclerotic cases, a special combined technique of Soundbridge implantation with simultaneous stapedotomy can result in sufficient hearing rehabilitation. These techniques significantly broadened the scale of possibilities for the implantation, therefore, it became a widely utilized, reliable procedure. At the Department of Otorhino-laryngology, Clinical Center, University of Pécs, in addition to a noteworthy amount of incus vibroplasty, several cases of round window vibroplasty have also been performed. The aim of the present study is to summarize the history of development of the Vibrant Soundbridge and to present an overview of the applicable surgical techniques. Orv Hetil. 2021; 162(40): 1619-1626.}, keywords = {surgical technique; Middle ear implant; középfül-implantátum; Vibrant Soundbridge; coupler; műtéti technika}, year = {2021}, eissn = {1788-6120}, pages = {1619-1626} } @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:30676150, title = {Stapedotomy with incus vibroplasty - A novel surgical solution of advanced otosclerosis and its place among existing therapeutic modalities - Hungarian single institutional experiences.}, url = {https://m2.mtmt.hu/api/publication/30676150}, author = {Burián, András and Gerlinger, Imre and Tóth, Tamás Ferenc and Piski, Zalán and Ráth, Gábor and Bakó, Péter}, doi = {10.1016/j.anl.2019.04.004}, journal-iso = {AURIS NASUS LARYNX}, journal = {AURIS NASUS LARYNX}, volume = {47}, unique-id = {30676150}, issn = {0385-8146}, abstract = {To delineate the advantages and steps of stapedotomy with incus vibroplasty, to assess the safety and efficacy of this method via the authors' experiences, and to overview the literature regarding other surgical options in advanced otosclerosis determining the place of stapedotomy with incus vibroplasty in the therapeutic range.Four patients were enrolled in the study presenting severe mixed hearing loss of at least one side on pure tone audiometry. Based on complementary audiological examinations including stapedial reflex test and multifrequency tympanometry, all cases were suspected as advanced otosclerosis. Stapedotomy with incus vibroplasty - the combination of laser stapedotomy and simultaneous Vibrant Soundbridge implantation - was performed in each patient. Preoperative pure tone average, speech recognition thresholds and word recognition scores were compared to one-year postoperative free-field values with the implant switched on focusing on functional gain.Among 4 participants (3 females, 1 male) the mean age (SD) was 66 years (35). In three cases Nitinol, in one case NitiBond piston was inserted. One-year postoperative free-field functional gains were 30 dB, 34 dB, 42 dB and 51 dB, respectively. One-year postoperative free-field speech recognition thresholds were 45 dB, 45 dB, 49 dB and 50 dB, respectively, while word recognition scores were 70%, 70%, 70% and 75%, respectively.Postoperative results in our serie regarding pure tone average and word recognition score proved to be better than those found in the literature. Stapedotomy with incus vibroplasty - through sufficient air-bone gap closure and simultaneous sensorineural component management - seems to be a promising surgical solution in advanced otosclerosis, requiring further investigation.}, keywords = {Active middle ear implant; Advanced otosclerosis; Laser stapedotomy; Mixed hearing loss}, year = {2020}, eissn = {1879-1476}, pages = {55-64}, orcid-numbers = {Piski, Zalán/0000-0003-2592-9652} } @article{MTMT:30936919, title = {Cochleáris implantációval szerzett tapasztalataink MELAS-szindrómás betegeinknél - Esteismertetés}, url = {https://m2.mtmt.hu/api/publication/30936919}, author = {Németh, Adrienn and Bocskai, Tímea and Tóth, Tamás Ferenc and Molnár, Krisztián and Gerlinger, Imre}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {65}, unique-id = {30936919}, issn = {0016-237X}, year = {2019}, pages = {135-137} } @article{MTMT:34037404, title = {Implantálható hallókészülékek}, url = {https://m2.mtmt.hu/api/publication/34037404}, author = {Németh, Adrienn and Tóth, Tamás Ferenc and Gerlinger, Imre}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {64}, unique-id = {34037404}, issn = {0016-237X}, year = {2018}, pages = {138-146} } @article{MTMT:34037405, title = {Implantálható hallókészülékek – hol tartunk 2016-ban?}, url = {https://m2.mtmt.hu/api/publication/34037405}, author = {Németh, Adrienn and Gerlinger, Imre and Tóth, Tamás Ferenc}, journal-iso = {ORVOSTOVÁBBKÉPZŐ SZLE}, journal = {ORVOSTOVÁBBKÉPZŐ SZEMLE}, volume = {23}, unique-id = {34037405}, issn = {1218-2583}, year = {2016}, pages = {20-27} } @article{MTMT:3222498, title = {Az elektrosebészet és az MRI diagnosztika veszélyei cochlearis implantátumot viselő betegek körében}, url = {https://m2.mtmt.hu/api/publication/3222498}, author = {Tóth, Tamás Ferenc and Bakó, Péter and Németh, Adrienn and Révész, Péter and Barcsi, Beatrix and Gerlinger, Imre}, journal-iso = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, journal = {FÜL-ORR-GÉGEGYÓGYÁSZAT}, volume = {62}, unique-id = {3222498}, issn = {0016-237X}, year = {2016}, pages = {75-79} } @book{MTMT:3182887, title = {Fülészeti mozaikok}, url = {https://m2.mtmt.hu/api/publication/3182887}, isbn = {9789631264906}, author = {Gerlinger, Imre and Szanyi, István and Lujber, László and Tóth, Tamás Ferenc}, publisher = {Magánkiadás (nemzetközi)}, unique-id = {3182887}, year = {2016} }