{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T11:15:01Z","timestamp":1698491701130},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"40","license":[{"start":{"date-parts":[[2021,10,3]],"date-time":"2021-10-03T00:00:00Z","timestamp":1633219200000},"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":[[2021,10,3]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> A Vibrant Soundbridge akt\u00edv k\u00f6z\u00e9pf\u00fcl-implant\u00e1tum\n                    vezet\u00e9ses, sensorineuralis \u00e9s kevert t\u00edpus\u00fa hall\u00e1scs\u00f6kken\u00e9s eset\u00e9n is megold\u00e1st\n                    jelenthet a beteg hall\u00e1srehabilit\u00e1ci\u00f3ja sor\u00e1n. Sensorineuralis hall\u00e1scs\u00f6kken\u00e9s\n                    eset\u00e9n akkor indik\u00e1lhat\u00f3, ha a l\u00e9gvezet\u00e9ses hall\u00e1sk\u00fcsz\u00f6b nem haladja meg a 80\u201385\n                    dBHL-t a 3\u20134 kHz frekvenci\u00e1kon, vezet\u00e9ses, illetve kevert t\u00edpus\u00fa hall\u00e1scs\u00f6kken\u00e9s\n                    eset\u00e9n pedig akkor, ha a csontvezet\u00e9ses hall\u00e1sk\u00fcsz\u00f6b nem haladja meg a 45\u201365\n                    dBHL-t a 0,5\u20134 kHz k\u00f6zti frekvenciatartom\u00e1nyban. Az implant\u00e1tum be\u00fcltet\u00e9s\u00e9t\n                    eleinte tiszt\u00e1n sensorineuralis hall\u00e1scs\u00f6kken\u00e9s eset\u00e9n v\u00e9gezt\u00e9k, \u00e9s csup\u00e1n\n                    egyf\u00e9lek\u00e9ppen t\u00f6rt\u00e9nhetett: a rezg\u00e9skelt\u0151 rendszer oldal\u00e1n l\u00e9v\u0151 r\u00f6gz\u00edt\u0151csipeszt\n                    r\u00e1 kellett applik\u00e1lni az incus hossz\u00fa ny\u00fajtv\u00e1ny\u00e1ra. Azokra az esetekre, amikor a\n                    rezg\u00e9skelt\u0151 r\u00f6gz\u00edt\u00e9se nem kivitelezhet\u0151, k\u00fcl\u00f6nb\u00f6z\u0151 r\u00f6gz\u00edt\u0151elemeket (coupler)\n                    fejlesztettek ki. Az incusra val\u00f3 r\u00f6gz\u00edt\u00e9s hossz\u00fany\u00fajtv\u00e1ny-couplerrel, illetve\n                    r\u00f6vidny\u00fajtv\u00e1ny-couplerrel lehets\u00e9ges. Vezet\u00e9ses \u00e9s kevert t\u00edpus\u00fa hall\u00e1scs\u00f6kken\u00e9s\n                    eset\u00e9n a kerek ablak membr\u00e1nj\u00e1hoz is illeszthet\u0151 a rendszer, el\u0151rehaladott\n                    otosclerosis eset\u00e9n pedig a Soundbridge-implant\u00e1ci\u00f3 stapedotomi\u00e1val kieg\u00e9sz\u00edtett\n                    v\u00e1ltozata (\u201epower stapes\u201d) hozhat kiel\u00e9g\u00edt\u0151 hall\u00e1seredm\u00e9nyt. Ezek a technik\u00e1k\n                    meglehet\u0151sen megn\u00f6velt\u00e9k a seb\u00e9sz szabads\u00e1g\u00e1t, \u00edgy sz\u00e9les k\u00f6rben alkalmazott,\n                    megb\u00edzhat\u00f3 megold\u00e1ss\u00e1 v\u00e1ltak. A P\u00e9csi Tudom\u00e1nyegyetem F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s\n                    Fej-Nyakseb\u00e9szeti Klinik\u00e1j\u00e1n az elm\u00falt \u00e9vtizedben sz\u00e1mos incusvibroplastica\n                    t\u00f6rt\u00e9nt, de kerekablak-vibroplastic\u00e1ra is t\u00f6bb alkalommal sor ker\u00fclt. A jelen\n                    \u00f6sszefoglal\u00f3 tanulm\u00e1nyban a Vibrant Soundbridge implant\u00e1tum technikai\n                    fejl\u0151d\u00e9s\u00e9nek t\u00f6rt\u00e9neti \u00e1ttekint\u00e9s\u00e9n fel\u00fcl az alkalmazhat\u00f3 m\u0171t\u00e9ti megold\u00e1sokat\n                    mutatjuk be. Orv Hetil. 2021; 162(40): 1619\u20131626.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> The Vibrant Soundbridge active middle ear implant can\n                    provide a reliable solution for hearing rehabilitation of patients with\n                    conductive, sensorineural or mixed hearing loss. For sensorineural hearing loss,\n                    the air conduction threshold of the patient should not be more increased than\n                    80\u201385 dBHL at the range of 3\u20134 kHz, and for conductive and mixed hearing loss,\n                    the bone conduction threshold should not be more increased than 45\u201365 dBHL\n                    between 0.5 and 4 kHz. The standard surgical procedure was originally designed\n                    for purely sensorineural hearing loss, and the fixation clip of the vibrating\n                    transducer needed to be crimped onto the long process of the incus. In many\n                    cases, it is impossible to crimp the vibrator onto the incus. In order to solve\n                    such circumstances, fixation clips (couplers) have been developed. There are two\n                    options to crimp the device on the incus: applying a long process coupler or a\n                    short process coupler. For conductive or mixed hearing loss, a round window soft\n                    coupler has been introduced. In advanced otosclerotic cases, a special combined\n                    technique of Soundbridge implantation with simultaneous stapedotomy can result\n                    in sufficient hearing rehabilitation. These techniques significantly broadened\n                    the scale of possibilities for the implantation, therefore, it became a widely\n                    utilized, reliable procedure. At the Department of Otorhino-laryngology,\n                    Clinical Center, University of P\u00e9cs, in addition to a noteworthy amount of incus\n                    vibroplasty, several cases of round window vibroplasty have also been performed.\n                    The aim of the present study is to summarize the history of development of the\n                    Vibrant Soundbridge and to present an overview of the applicable surgical\n                    techniques. Orv Hetil. 2021; 162(40): 1619\u20131626.<\/jats:p>","DOI":"10.1556\/650.2021.32216","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:08:18Z","timestamp":1633914498000},"page":"1619-1626","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["A Vibrant Soundbridge akt\u00edv k\u00f6z\u00e9pf\u00fcl-implant\u00e1tum t\u00f6rt\u00e9neti \u00e1ttekint\u00e9se \u00e9s seb\u00e9szi alkalmaz\u00e1s\u00e1nak lehet\u0151s\u00e9gei"],"prefix":"10.1556","volume":"162","author":[{"given":"Tam\u00e1s","family":"T\u00f3th","sequence":"first","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imre","family":"Gerlinger","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. 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