{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T13:16:05Z","timestamp":1698844565312},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"22","license":[{"start":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T00:00:00Z","timestamp":1622332800000},"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":[[2021,5,30]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> A cochlearis implant\u00e1tum egy m\u0171t\u00e9tileg behelyezett\n                    elektromos eszk\u00f6z, amely az akusztikus hanghull\u00e1mokat elektromos jelekk\u00e9\n                    alak\u00edtja, k\u00f6zvetlen\u00fcl a hall\u00f3ideget stimul\u00e1lja, \u00edgy seg\u00edti a s\u00falyos fok\u00fa\n                    hall\u00e1ss\u00e9r\u00fcl\u00e9ssel vagy teljes hall\u00e1sveszt\u00e9ssel \u00e9l\u0151k \u00e9let\u00e9t. Cochlearis\n                    implant\u00e1ci\u00f3t k\u00f6vet\u0151en a legjobb rehabilit\u00e1ci\u00f3s eredm\u00e9ny el\u00e9r\u00e9s\u00e9nek technikai\n                    felt\u00e9tele t\u00f6bbek k\u00f6z\u00f6tt az esetre szabott elektr\u00f3dav\u00e1laszt\u00e1s \u00e9s az elektr\u00f3dasor\n                    teljes, kontroll\u00e1lt, sz\u00f6v\u0151dm\u00e9nymentes bejuttat\u00e1sa a scala tympaniba, mik\u00f6zben a\n                    cochlea bels\u0151 strukt\u00far\u00e1ja a lehet\u0151 legkisebb m\u00e9rt\u00e9kben s\u00e9r\u00fcl. A rutin\n                    intraoperat\u00edv elektrofiziol\u00f3giai tesztek fontos inform\u00e1ci\u00f3t adnak a k\u00e9sz\u00fcl\u00e9k\n                    m\u0171k\u00f6d\u0151k\u00e9pess\u00e9g\u00e9r\u0151l \u00e9s a hall\u00f3ideg stimul\u00e1ci\u00f3j\u00e1r\u00f3l, azonban nem hagyatkozhatunk\n                    r\u00e1juk az elektr\u00f3dasor cochle\u00e1n bel\u00fcli helyzet\u00e9nek igazol\u00e1s\u00e1ban. Mivel\n                    el\u0151fordulhat, hogy a rendelkez\u00e9sre \u00e1ll\u00f3 elektrofiziol\u00f3giai vizsg\u00e1latok eredm\u00e9nye\n                    megfelel\u0151, \u00e9s m\u00e9gis rendellenes helyzetbe ker\u00fcl az elektr\u00f3da, az arany\n                    standardot a k\u00e9palkot\u00f3 vizsg\u00e1latok jelentik. <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    K\u00f6zlem\u00e9ny\u00fcnkben egy modern, hibrid m\u0171t\u0151 \u00e1ltal ny\u00fajtott technol\u00f3giai h\u00e1tt\u00e9r \u00faj\n                    alkalmaz\u00e1si ter\u00fclet\u00e9t mutatjuk be. Szimult\u00e1n k\u00e9toldali cochlearis implant\u00e1ci\u00f3t\n                    v\u00e9gezt\u00fcnk Cochlear Nucleus Slim Modiolar t\u00edpus\u00fa perimodiolaris elektr\u00f3dasorral,\n                    a bels\u0151 f\u00fcl fejl\u0151d\u00e9si rendelleness\u00e9g\u00e9vel rendelkez\u0151 betegen. Az intraoperat\u00edv\n                    k\u00e9palkot\u00e1st Siemens Artis pheno C-karos robot digit\u00e1lis szubtrakci\u00f3s\n                    angiogr\u00e1fi\u00e1s rendszer biztos\u00edtotta val\u00f3s idej\u0171 \u00e1tvil\u00e1g\u00edt\u00f3 \u00e9s volumentomogr\u00e1fi\u00e1s\n                    funkci\u00f3val. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az intraoperat\u00edv k\u00e9palkot\u00e1s \u00e1ltal\n                    dinamikusan k\u00f6vethet\u0151 az elektr\u00f3dasor bevezet\u00e9s\u00e9nek folyamata, ellen\u0151rizhet\u0151 az\n                    elektr\u00f3dasor statikus helyzete, \u00edgy kiv\u00e1lthat\u00f3 a rutinnak sz\u00e1m\u00edt\u00f3 posztoperat\u00edv\n                    k\u00e9palkot\u00f3 vizsg\u00e1lat. A rendellenes helyzetbe ker\u00fcl\u0151 elektr\u00f3dasor poz\u00edci\u00f3ja egy\n                    \u00fcl\u00e9sben korrig\u00e1lhat\u00f3, az \u00fajb\u00f3l bevezethet\u0151, \u00edgy elker\u00fclhet\u0151 az \u00fajabb altat\u00e1ssal\n                    j\u00e1r\u00f3, bizonytalan kimenetel\u0171 rev\u00edzi\u00f3s m\u0171t\u00e9t. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A\n                    hibrid m\u0171t\u0151 j\u00f3l kontroll\u00e1lt, minim\u00e1lisan invaz\u00edv elj\u00e1r\u00e1sok elv\u00e9gz\u00e9s\u00e9t\n                    biztos\u00edtja. K\u00fcl\u00f6n\u00f6sen a hall\u00f3szerv fejl\u0151d\u00e9si rendelleness\u00e9ge vagy egy\u00e9b, az\n                    elektr\u00f3d\u00e1nak a cochle\u00e1ba vezet\u00e9s\u00e9t nehez\u00edt\u0151 rendelleness\u00e9g eset\u00e9n javasolt a\n                    m\u0171t\u0151i k\u00e9palkot\u00f3 diagnosztika. Orv Hetil. 2021; 162(22): 878\u2013883.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> The cochlear implant is a surgically inserted\n                    electrical device that converts acoustic sound waves into electrical signals to\n                    stimulate the cochlear nerve, thus helps the rehabilitation of people with\n                    severe to total hearing loss. One of the most important technical conditions for\n                    achieving the best rehabilitation result after cochlear implantation is the\n                    personalized choice of electrodes. Additionally, it is vital that there is a\n                    complete, controlled, uncomplicated delivery of the electrode array to the scala\n                    tympani while minimizing damage to the inner structures of the cochlea. Routine\n                    electrophysiological tests provide important information about device\n                    functionality and auditory nerve stimulation. However, they probably do not show\n                    an abnormal position of the electrode array within the cochlea. Thus, imaging\n                    studies remain the gold standard. <jats:italic>Method:<\/jats:italic> In our paper, we\n                    present a novel application field of the modern technological background\n                    provided by a hybrid operating room. Simultaneous bilateral cochlear\n                    implantation was performed with cochlear implants with perimodiolar electrode\n                    array (Nucleus Slim Modiolar) in a patient with cochlear malformation.\n                    Intraoperative imaging was provided by a Siemens Artis pheno C-arm robot digital\n                    subtraction angiography system with real-time fluoroscopy and volume tomography\n                    function. <jats:italic>Results:<\/jats:italic> Intraoperative imaging ensures dynamic\n                    follow-up of the introduction and static determination of the position of the\n                    electrode array and replaces routine postoperative imaging. If the electrode\n                    array was inserted in an abnormal position, the revision can be performed in the\n                    same sitting. Also, the revision surgery with a potential risk of uncertain\n                    outcome, alongside additional anaesthesia, can be prevented.\n                        <jats:italic>Conclusion:<\/jats:italic> The hybrid operating room ensures that\n                    well-controlled, minimally invasive procedures are performed. Intraoperative\n                    imaging can be imperative in malformed cochleae and conditions that may\n                    complicate electrode insertion. Orv Hetil. 2021; 162(22): 878\u2013883.<\/jats:p>","DOI":"10.1556\/650.2021.32085","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:03:58Z","timestamp":1630404238000},"page":"878-883","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["\u00daj m\u0171t\u00e9ti k\u00e9palkot\u00f3 lehet\u0151s\u00e9g a bels\u0151f\u00fcl-implant\u00e1tum elektr\u00f3dasor\u00e1nak dinamikus helyzetmeghat\u00e1roz\u00e1s\u00e1ra"],"prefix":"10.1556","volume":"162","author":[{"given":"\u00c1d\u00e1m","family":"Per\u00e9nyi","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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Nagy","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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bence","family":"Horv\u00e1th","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":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1lint","family":"Posta","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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef G\u00e9za","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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1080\/14670100.2020.1730066","article-title":"Potential insertion complications with cochlear implant electrodes","volume":"21","author":"1 Ishiyama","year":"2020","unstructured":"1 Ishiyama A, Risi F, Boyd P. 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