{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T10:43:36Z","timestamp":1698317016268},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"23","license":[{"start":{"date-parts":[[2022,6,5]],"date-time":"2022-06-05T00:00:00Z","timestamp":1654387200000},"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":[[2022,6,5]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A modern k\u00f6z\u00e9pf\u00fclseb\u00e9szeti beavatkoz\u00e1sok egyik fontos\n                    c\u00e9lja a hall\u00e1s jav\u00edt\u00e1s\u00e1n fel\u00fcl a posztoperat\u00edv \u00e9letmin\u0151s\u00e9g optimaliz\u00e1l\u00e1sa is. A\n                    leggyakoribb posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyek k\u00f6z\u00e9 tartozik az \u00e1tmeneti vagy v\u00e9gleges\n                    \u00edz\u00e9rz\u00e9szavar, mely a chorda tympani anat\u00f3miai elhelyezked\u00e9s\u00e9b\u0151l ad\u00f3d\u00f3 s\u00e9r\u00fcl\u00e9si\n                    kock\u00e1zattal magyar\u00e1zhat\u00f3. A fenti sz\u00f6v\u0151dm\u00e9ny jellemz\u0151inek r\u00e9szeletes ismerete a\n                    betegek t\u00e1j\u00e9koztat\u00e1s\u00e1hoz \u00e9s a legjobb intraoperat\u00edv d\u00f6nt\u00e9shozatalhoz is\n                    megker\u00fclhetetlen. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A korai posztoperat\u00edv id\u0151szakban\n                    kialakul\u00f3 \u00edz\u00e9rz\u00e9szavarok vizsg\u00e1lata. A k\u00fcl\u00f6nb\u00f6z\u0151 m\u0171t\u00e9ti t\u00edpusok, valamint a\n                    m\u0171t\u00e9t sor\u00e1n bek\u00f6vetkezett chorda tympani manipul\u00e1ci\u00f3nak az \u00edz\u00e9rz\u00e9sv\u00e1ltoz\u00e1sra\n                    gyakorolt hat\u00e1s\u00e1t k\u00edv\u00e1ntuk tiszt\u00e1zni. <jats:italic>M\u00f3dszerek:<\/jats:italic> A p\u00e1cienseket\n                    prospekt\u00edv m\u00f3don a beavatkoz\u00e1s el\u0151tt \u00e9s annak m\u00e1snapj\u00e1n kit\u00f6lt\u00f6tt k\u00e9rd\u0151\u00edvek\n                    seg\u00edts\u00e9g\u00e9vel vizsg\u00e1ltuk. 15 betegn\u00e9l stapesm\u0171t\u00e9t, 28 betegn\u00e9l tympanoplastica\n                    t\u00f6rt\u00e9nt. Vizu\u00e1lis anal\u00f3g sk\u00e1la (VAS, 0\u201310) \u00e9s egyszer\u0171 eld\u00f6ntend\u0151 k\u00e9rd\u00e9sek\n                    seg\u00edts\u00e9g\u00e9vel vizsg\u00e1ltuk a v\u00e1ltoz\u00e1st. A manipul\u00e1ci\u00f3kat 5 kateg\u00f3ri\u00e1ra osztottuk az\n                    ideget \u00e9rt behat\u00e1s m\u00e9rt\u00e9ke alapj\u00e1n. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A\n                    tympanoplastic\u00e1kat \u00e9s a stapesm\u0171t\u00e9teket \u00f6sszehasonl\u00edtva nem volt k\u00fcl\u00f6nbs\u00e9g a\n                    posztoperat\u00edv \u00edz\u00e9rz\u00e9si panaszok k\u00f6z\u00f6tt (VAS: 9 <jats:italic>vs.<\/jats:italic> 9,1; p =\n                    0,861). A \u20190\u2019, \u20191\u2019 \u00e9s \u20192\u2019 csoportban az \u00e1tlagos VAS-\u00e9rt\u00e9k 10, 9,26 \u00e9s 8,5 volt.\n                    A \u201emanipul\u00e1ci\u00f3 n\u00e9lk\u00fcli\u201d (0) \u00e9s a \u201ejelent\u0151s fok\u00fa manipul\u00e1ci\u00f3 l\u00e1that\u00f3 s\u00e9r\u00fcl\u00e9s\n                    n\u00e9lk\u00fcl\u201d (2) csoport k\u00f6z\u00f6tt szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get tal\u00e1ltunk (VAS: 10\n                        <jats:italic>vs.<\/jats:italic> 8,5; p = 0,039). A stapesm\u0171t\u00e9tes csoportban \u00edz\u00e9rz\u00e9sre\n                    vonatkoz\u00f3 jelent\u0151s sz\u00f6v\u0151dm\u00e9ny (VAS&lt;5) nem jelentkezett.\n                        <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Megfelel\u0151 mikroszk\u00f3pos f\u00fclseb\u00e9szeti technika\n                    mellett relat\u00edve alacsony sz\u00f6v\u0151dm\u00e9nysz\u00e1mot tal\u00e1ltunk, a m\u0171t\u00e9ti t\u00edpus nem\n                    befoly\u00e1solta a vizsg\u00e1lt sz\u00f6v\u0151dm\u00e9nyr\u00e1t\u00e1t. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A\n                    posztoperat\u00edv \u00edz\u00e9rz\u00e9szavar kialakul\u00e1sa alacsony szinten tarthat\u00f3, a chorda\n                    tympani meg\u0151rz\u00e9se a legt\u00f6bbsz\u00f6r lehets\u00e9ges. A panaszok kialakul\u00e1s\u00e1nak m\u00e9rt\u00e9ke az\n                    idegmanipul\u00e1ci\u00f3 m\u00e9rt\u00e9k\u00e9vel \u00f6sszef\u00fcgg\u00e9st mutatott, a m\u0171t\u00e9ti t\u00edpussal viszont nem.\n                    Orv Hetil. 2022; 163(23): 920\u2013925.<\/jats:p>","DOI":"10.1556\/650.2022.32465","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T08:08:37Z","timestamp":1656922117000},"page":"920-925","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Korai posztoperat\u00edv \u00edz\u00e9rz\u00e9szavar k\u00f6z\u00e9pf\u00fclseb\u00e9szeti beavatkoz\u00e1sokat k\u00f6vet\u0151en"],"prefix":"10.1556","volume":"163","author":[{"given":"L\u00e1szl\u00f3","family":"Sz\u00e9kely","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"G\u00e1borj\u00e1n","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Tam\u00e1s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Polony","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Budapest, Szigony u. 36., 1083 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1177\/000348948909800606","article-title":"Audiometric results of TORP and PORP middle ear reconstruction","volume":"98","author":"1 Mair","year":"1989","unstructured":"1 Mair IW, Pedersen S, Laukli E. 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