{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:18:46Z","timestamp":1790803126265,"version":"4.1.0"},"reference-count":35,"publisher":"Akademiai Kiado Zrt.","issue":"25","license":[{"start":{"date-parts":[[2021,6,20]],"date-time":"2021-06-20T00:00:00Z","timestamp":1624147200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,6,20]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Az elm\u00falt \u00e9vekben a cochlearis implant\u00e1tum a s\u00falyos\n                    hall\u00e1sk\u00e1rosod\u00e1s vagy a teljes sikets\u00e9g rutinszer\u0171 \u00e9s hat\u00e9kony kezel\u00e9si eszk\u00f6z\u00e9v\u00e9\n                    v\u00e1lt. Korunk egyik leggyakrabban haszn\u00e1lt \u00e9s leghat\u00e9konyabb \u00faj\u00edt\u00e1sa a cochlearis\n                    implant\u00e1ci\u00f3ban a perimodiolaris v\u00e9kony elektr\u00f3dasorok alkalmaz\u00e1sa. A cochlea\n                    k\u00f6z\u00e9ptengely\u00e9t, a modiolust szorosan \u00f6lel\u0151 atraumatikus elektr\u00f3dasor igen\n                    meggy\u0151z\u0151 eredm\u00e9nnyel bizony\u00edtja n\u00e9pszer\u0171s\u00e9g\u00e9t, mind az elektrofiziol\u00f3giai\n                    m\u00e9r\u00e9sek sor\u00e1n, mind az akusztikus hall\u00e1s meg\u0151rz\u00e9se ter\u00e9n ny\u00fajtott\n                    teljes\u00edtm\u00e9ny\u00e9vel. Ugyanakkor igen kev\u00e9s publik\u00e1ci\u00f3 \u00edrja le az elektr\u00f3dasor nem\n                    megfelel\u0151 helyzet\u00e9nek el\u0151fordul\u00e1si gyakoris\u00e1g\u00e1t, pontosabban a visszatekered\u00e9s\u00e9t\n                    a cs\u00facsi szakaszon. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Tanulm\u00e1nyunk c\u00e9lja olyan\n                    szoftveres technika, a transzimpedancia-m\u00e1trix (TIM) beilleszt\u00e9se a rutin\n                    intraoperat\u00edv elektrofiziol\u00f3giai m\u00e9r\u00e9si metodik\u00e1k k\u00f6z\u00e9, amely k\u00e9pes objekt\u00edv\n                    diagnosztikai lehet\u0151s\u00e9get biztos\u00edtani ahhoz, hogy kor\u00e1n felismerhess\u00fck a\n                    cochlearis implant\u00e1tum elektr\u00f3dasor\u00e1n keletkezett hurkot.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> H\u00e1rom\u00e9ves kisgyermek k\u00e9toldali cochlearis\n                    implant\u00e1ci\u00f3j\u00e1t k\u00f6vet\u0151en, posztoperat\u00edv r\u00f6ntgenfelv\u00e9telen a bal oldalon az\n                    elektr\u00f3dasor megfelel\u0151 poz\u00edci\u00f3ja figyelhet\u0151 meg, m\u00edg a jobb oldalon az\n                    intracochlearis elektr\u00f3dasor v\u00e9g\u00e9nek visszatekered\u00e9se igazol\u00f3dott. K\u00e9palkot\u00f3\n                    vizsg\u00e1latot k\u00f6vet\u0151en elektrofiziol\u00f3giai met\u00f3dusk\u00e9nt TIM-vizsg\u00e1latot v\u00e9gezt\u00fcnk.\n                    Az elj\u00e1r\u00e1s sor\u00e1n a m\u00e9r\u0151eszk\u00f6z a kijel\u00f6lt stimul\u00e1l\u00f3 elektr\u00f3d\u00e1kon 1 V nagys\u00e1grend\u0171\n                    fesz\u00fclts\u00e9get k\u00f6z\u00f6l \u00e1lland\u00f3 \u00e1ramer\u0151ss\u00e9g mellett a cochlea k\u00f6zel es\u0151 strukt\u00far\u00e1i\n                    fel\u00e9. M\u00e9r\u0151elektr\u00f3d\u00e1k seg\u00edts\u00e9g\u00e9vel regisztr\u00e1ljuk a sz\u00f6veteken m\u00e9rhet\u0151\n                    fesz\u00fclts\u00e9get, majd transzimpedancia-m\u00e1trixsz\u00e1 alak\u00edtjuk a m\u00e9rt \u00e9rt\u00e9keket.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az elektr\u00f3dasor visszatekered\u00e9se, amelyet\n                    kor\u00e1bban radiol\u00f3giai vizsg\u00e1lattal igazoltunk, az objekt\u00edv elektrofiziol\u00f3giai\n                    m\u00e9r\u00e9sek seg\u00edts\u00e9g\u00e9vel is j\u00f3l azonos\u00edthat\u00f3, \u00e9s a vizsg\u00e1latok szoros p\u00e1rhuzamot\n                    mutatnak. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az elektr\u00f3d\u00e1k helyzet\u00e9nek\n                    megjelen\u00edt\u00e9s\u00e9re szolg\u00e1l\u00f3 standard radiol\u00f3giai k\u00e9palkot\u00e1si technik\u00e1k\n                    kieg\u00e9sz\u00edthet\u0151k, illetve kiv\u00e1lthat\u00f3k egyszer\u0171en elv\u00e9gezhet\u0151, hat\u00e9kony, objekt\u00edv\n                    elektrofiziol\u00f3giai vizsg\u00e1latokkal. Intraoperat\u00edven, m\u00e9g a sebz\u00e1r\u00e1s el\u0151tt\n                    kimutathat\u00f3, ha az elektr\u00f3dasor nem megfelel\u0151 helyzetbe ker\u00fclt, \u00edgy\n                    cs\u00f6kkenthetj\u00fck a radiol\u00f3giai vizsg\u00e1latokkal j\u00e1r\u00f3 sug\u00e1rterhel\u00e9s \u00e9s annak\n                    finansz\u00edroz\u00e1si probl\u00e9m\u00e1j\u00e1t. Orv Hetil. 2021; 162(25): 988\u2013996.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> In recent years, the cochlear implant has become\n                    a routine and effective treatment tool for severe hearing loss and total\n                    deafness. One of the commonly used and effective innovations of our time in\n                    cochlear implantation is the perimodiolar thin electrode array. The atraumatic\n                    electrode array, which closely embraces the central axis of the cochlea\n                    (modiolus), has served its popularity with very convincing results, with its\n                    performance in both electrophysiological measurements and acoustic hearing\n                    preservation. However, very few publications describe the frequency of improper\n                    positioning of the electrode array, which is known as \u2018tip fold-over\u2019.\n                        <jats:italic>Objective:<\/jats:italic> The aim of our study is to incorporate a\n                    software technique, the transimpedance matrix (TIM), into routine intraoperative\n                    electrophysiological measurement methodologies to provide a potential objective\n                    diagnostic opportunity for early detection of tip fold-over of the electrode\n                    array. <jats:italic>Method:<\/jats:italic> Following bilateral cochlear implantation of a\n                    three-year-old child, postoperative radiography showed the correct position of\n                    the electrode array on the left side, while tip fold-over of the intracochlear\n                    electrode array was detected on the right side. Following imaging, a TIM study\n                    was performed as an electrophysiological method. During the procedure, the\n                    measuring device transmits a voltage of the order of 1 V to the nearby\n                    structures of the cochlea at a constant current at the designated stimulus\n                    electrodes. Measuring electrodes were used to register the voltage measured on\n                    the tissues, and then converted into a TIM. <jats:italic>Results:<\/jats:italic> Electrode\n                    tip fold-over was previously diagnosed by radiological examination, while it can\n                    also be diagnosed by objective electrophysiological measurements now, and these\n                    two tests correlate well. <jats:italic>Conclusion:<\/jats:italic> Standard radiological\n                    imaging techniques for electrode positioning can be supplemented or replaced by\n                    easy-to-perform, effective objective electrophysiological studies. Tip fold-over\n                    can be detected intraoperatively, even before wound closure, if the electrode\n                    array is in the wrong position, thus reducing the radiation exposure associated\n                    with radiological examinations as well as reducing relevant costs. Orv Hetil.\n                    2021; 162(25): 988\u2013996.<\/jats:p>","DOI":"10.1556\/650.2021.32073","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:05:26Z","timestamp":1630404326000},"page":"988-996","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":5,"title":["Az elektr\u00f3dasor visszatekered\u00e9s\u00e9nek kimutat\u00e1sa transzimpedanciam\u00e1trix (TIM)-vizsg\u00e1lattal cochlearis implant\u00e1tumban"],"prefix":"10.1556","volume":"162","author":[{"given":"Roland","family":"Nagy","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1d\u00e1m","family":"Per\u00e9nyi","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"Dim\u00e1k","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikl\u00f3s","family":"Csan\u00e1dy","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f3zsef","family":"Kiss","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1szl\u00f3","family":"Rov\u00f3","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.ijporl.2017.06.036","article-title":"Effects of residual hearing on cochlear implant outcomes in children: a systematic-review","volume":"100","author":"Chiossi JS","year":"2017","unstructured":"1 Chiossi JS, Hyppolito MA. 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