{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T16:10:25Z","timestamp":1723133425425},"reference-count":18,"publisher":"Akademiai Kiado Zrt.","issue":"51","license":[{"start":{"date-parts":[[2021,12,19]],"date-time":"2021-12-19T00:00:00Z","timestamp":1639872000000},"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":[[2021,12,19]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> A hirtelen hall\u00e1scs\u00f6kken\u00e9s patofiziol\u00f3gi\u00e1ja m\u00e9g\n                    nagyr\u00e9szt tiszt\u00e1zatlan, \u00edgy oki ter\u00e1pia nem lehets\u00e9ges. Az els\u0151dleges kezel\u00e9st a\n                    helyileg vagy sziszt\u00e9m\u00e1san adott kortikoszteroid jelenti, egys\u00e9ges protokoll\n                    azonban nem \u00e1ll rendelkez\u00e9sre. Nagy vagy s\u00falyos fok\u00fa hirtelen hall\u00e1scs\u00f6kken\u00e9s\n                    eset\u00e9n k\u00f3roki t\u00e9nyez\u0151k\u00e9nt felmer\u00fcl a perilymphafistula lehet\u0151s\u00e9ge m\u00e9g azokn\u00e1l a\n                    betegekn\u00e9l is, akikn\u00e9l nem szerepel trauma az anamn\u00e9zisben. A k\u00f3rk\u00e9p m\u0171t\u00e9ti\n                    kezel\u00e9se a dob\u00fcreg felt\u00e1r\u00e1s\u00e1t k\u00f6vet\u0151en a bels\u0151 f\u00fcl ablakainak obliter\u00e1l\u00e1sa.\n                    Amennyiben ez a megold\u00e1s nem eredm\u00e9nyez megfelel\u0151 hall\u00e1sjavul\u00e1st, hagyom\u00e1nyos\n                    vagy implant\u00e1lhat\u00f3 hall\u00f3k\u00e9sz\u00fcl\u00e9kek alkalmaz\u00e1sa javasolt. A k\u00f6zlem\u00e9nyben\n                    r\u00e9szletezett eset\u00fcnkben teljes sikets\u00e9ggel j\u00e1r\u00f3, jobb oldali hirtelen\n                    hall\u00e1scs\u00f6kken\u00e9s alakult ki, melynek h\u00e1tter\u00e9ben egy\u00e9rtelm\u0171 okot azonos\u00edtani nem\n                    siker\u00fclt. Az eredm\u00e9nytelen kombin\u00e1lt, intratympanalis \u00e9s sziszt\u00e9m\u00e1s\n                    szteroidkezel\u00e9st k\u00f6vet\u0151en explorat\u00edv tympanotomi\u00e1t v\u00e9gezt\u00fcnk, melynek sor\u00e1n a\n                    bels\u0151 f\u00fcl ablakait obliter\u00e1ltuk. Hall\u00e1sjavul\u00e1st ezt k\u00f6vet\u0151en sem siker\u00fclt\n                    kimutatni, \u00edgy cochlearis implant\u00e1ci\u00f3 elv\u00e9gz\u00e9se mellett d\u00f6nt\u00f6tt\u00fcnk. Az\n                    implant\u00e1ci\u00f3t a kerek ablakon kereszt\u00fcl v\u00e9gezt\u00fck, mely alapj\u00e1n kijelenthetj\u00fck,\n                    hogy az el\u0151zetes kerekablak-obliter\u00e1ci\u00f3 nem z\u00e1rja ki a k\u00e9s\u0151bbi cochlearis\n                    implant\u00e1ci\u00f3t. Orv Hetil. 2021; 162(51): 2055\u20132060.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> The pathophysiology of sudden sensorineural hearing loss is\n                    mainly unknown, therefore no causative treatment exists. Systemic and local\n                    administration of corticosteroids serves as first line therapy although\n                    protocols vary. In cases of severe or profound hearing loss with no improvement\n                    for medical therapy, perilymphatic fistulae can be assumed even without any\n                    history of trauma. Therefore, inner ear window obliteration as a primary\n                    surgical option in the early stage can be considered. For patients without\n                    complete recovery, conventional hearing aids or implantable hearing devices can\n                    be offered. In our case report, we present a patient with right sided idiopathic\n                    sudden deafness. After failure of conservative combined intratympanic and\n                    systemic steroid therapy, explorative tympanotomy and obliteration of the inner\n                    ear windows were performed. As no hearing improvement was witnessed, successful\n                    cochlear implantation <jats:italic>via<\/jats:italic> round window insertion was performed.\n                    Our case justifies that obliterating the round window membrane does not rule out\n                    further successful cochlear implantation. Orv Hetil. 2021; 162(51):\n                    2055\u20132060.<\/jats:p>","DOI":"10.1556\/650.2021.32307","type":"journal-article","created":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T14:00:48Z","timestamp":1641564048000},"page":"2055-2060","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["A gy\u00f3gyszeres kezel\u00e9sre nem javul\u00f3 hirtelen hall\u00e1scs\u00f6kken\u00e9s l\u00e9pcs\u0151zetes seb\u00e9szi ter\u00e1pi\u00e1ja"],"prefix":"10.1556","volume":"162","author":[{"given":"M\u00e1rton","family":"Kov\u00e1cs","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, 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":"J\u00e1nos","family":"Uzsaly","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, 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":"Gr\u00e9ta","family":"Bodzai","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, 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":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, 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":"Istv\u00e1n","family":"Szanyi","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, 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":"P\u00e9ter","family":"Bak\u00f3","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai K\u00f6zpont, F\u00fcl- Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika P\u00e9cs, Munk\u00e1csy M. u. 2., 7621"},{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szent\u00e1gothai J\u00e1nos Kutat\u00f3k\u00f6zpont, Regenerat\u00edv Medicina Kutat\u00f3csoport P\u00e9cs"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Chandrasekhar SS, Tsai Do BS, Schwartz SR, et al. 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