{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T08:49:18Z","timestamp":1747817358924},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"8","license":[{"start":{"date-parts":[[2023,2,26]],"date-time":"2023-02-26T00:00:00Z","timestamp":1677369600000},"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":[[2023,2,26]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A hall\u00e1scs\u00f6kken\u00e9s olyan \u00e9rz\u00e9kszervi k\u00e1rosod\u00e1s, mely a\n                    besz\u00e9d\u00e9rt\u00e9st, a kommunik\u00e1ci\u00f3t, \u00edgy az \u00e9letmin\u0151s\u00e9get is rontja. El\u0151fordul, hogy a\n                    beteg \u00e1ltal meg\u00e9lt funkci\u00f3veszt\u00e9s t\u00falz\u00f3, a m\u00e9r\u00e9sek sor\u00e1n a szubjekt\u00edv \u00e9s az\n                    objekt\u00edv vizsg\u00e1lati eredm\u00e9nyek ellentmond\u00e1sosak, a szubjekt\u00edven jelzett\n                    hall\u00e1scs\u00f6kken\u00e9s m\u00e9rt\u00e9ke jelent\u0151sebb; ezen esetekben felmer\u00fcl a funkcion\u00e1lis\n                    hall\u00e1scs\u00f6kken\u00e9s v\u00e9lem\u00e9nyez\u00e9se. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> C\u00e9lul t\u0171zt\u00fck ki\n                    funkcion\u00e1lis hall\u00e1scs\u00f6kken\u00e9s diagn\u00f3zis\u00fa eseteink \u00f6sszegy\u0171jt\u00e9s\u00e9t \u00e9s retrospekt\u00edv\n                    elemz\u00e9s\u00e9t, melyek alapj\u00e1n k\u00f6vetkeztet\u00e9seket vonhatunk le a funkcion\u00e1lis\n                    hall\u00e1scs\u00f6kken\u00e9s jellemz\u0151ir\u0151l, a figyelemfelh\u00edv\u00f3 jelekr\u0151l, \u00e1llapotokr\u00f3l \u00e9s a\n                    megfelel\u0151 rehabilit\u00e1ci\u00f3 m\u00e9rlegel\u00e9s\u00e9r\u0151l. <jats:italic>M\u00f3dszerek:<\/jats:italic> A szubjekt\u00edv\n                    vizsg\u00e1latok a tisztahang-hall\u00e1sk\u00fcsz\u00f6b, a besz\u00e9d\u00e9rt\u00e9s \u00e9s a kommunik\u00e1ci\u00f3\n                    vizsg\u00e1lat\u00e1val t\u00f6rt\u00e9ntek, majd ezeket \u00f6sszevetett\u00fck az objekt\u00edv\n                    impedanciam\u00e9r\u00e9ssel, a stapediusreflex-vizsg\u00e1lattal, az otoakusztikus emisszi\u00f3\n                    m\u00e9r\u00e9s\u00e9vel, az agyt\u00f6rzsi kiv\u00e1ltott v\u00e1laszok regisztr\u00e1l\u00e1s\u00e1val nyert eredm\u00e9nyekkel.\n                    K\u00e9palkot\u00f3 vizsg\u00e1latok, pszichol\u00f3gus, pszichi\u00e1ter, szurdopedag\u00f3gus, neurol\u00f3gus,\n                    illetve tov\u00e1bbi t\u00e1rsszakm\u00e1k bevon\u00e1sa t\u00f6rt\u00e9nt sz\u00fcks\u00e9g szerint. Kiz\u00e1rtuk a\n                    sz\u00e1nd\u00e9kosan anyagi vagy egy\u00e9b el\u0151nyszerz\u00e9sre ir\u00e1nyul\u00f3 megt\u00e9veszt\u00e9s eseteit.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 2007 \u00e9s 2022 k\u00f6z\u00f6tt 19 beteg eset\u00e9ben\n                    diagnosztiz\u00e1ltunk funkcion\u00e1lis hall\u00e1scs\u00f6kken\u00e9st. A betegs\u00e9gben t\u00f6bbs\u00e9g\u00e9ben (17\n                    eset) n\u0151k \u00e9rintettek, jellemz\u0151ek a fiatal \u00e9letkorban (10\u201341 \u00e9v) jelentkez\u0151\n                    panaszok; az \u00e1tlag\u00e9letkor a vizsg\u00e1lt beteganyagban 19,6 \u00e9v, az \u00e9rintett\n                    p\u00e1ciensek nagyobb r\u00e9sze (13 eset) 10\u201317 \u00e9v k\u00f6z\u00f6tti gyermek volt. Organikus okot\n                    11 esetben nem tal\u00e1ltunk, a t\u00f6bbi esetben kimutathat\u00f3 organikus elt\u00e9r\u00e9s sem\n                    magyar\u00e1zza a beteg \u00e1ltal meg\u00e9lt hall\u00e1scs\u00f6kken\u00e9s m\u00e9rt\u00e9k\u00e9t. A funkcion\u00e1lis\n                    hall\u00e1svesztes\u00e9g m\u00e9rt\u00e9ke k\u00fcl\u00f6nb\u00f6z\u0151 (35\u2013120 dB) volt, \u00e1tlagosan 60,2 dB.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A funkcion\u00e1lis hall\u00e1scs\u00f6kken\u00e9s felismer\u00e9se\n                    \u00e9s diagnosztik\u00e1ja nagyon neh\u00e9z, komplex vizsg\u00e1lati sort, szakmai egy\u00fcttm\u0171k\u00f6d\u00e9st\n                    ig\u00e9nyel. Felismer\u00e9s n\u00e9lk\u00fcl a beteg indokolatlan, ak\u00e1r sz\u00e1m\u00e1ra k\u00e1ros, anyagilag\n                    is megterhel\u0151 ell\u00e1t\u00e1sban r\u00e9szes\u00fclhet, mely \u00e1llapot\u00e1nak roml\u00e1s\u00e1t is okozhatja.\n                    Orv Hetil. 2023; 164(8): 283\u2013292.<\/jats:p>","DOI":"10.1556\/650.2023.32712","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T04:33:50Z","timestamp":1677558830000},"page":"283-292","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["A funkcion\u00e1lis hall\u00e1scs\u00f6kken\u00e9s felismer\u00e9se \u00e9s komplex diagnosztik\u00e1ja"],"prefix":"10.1556","volume":"164","author":[{"given":"P\u00e9ter","family":"Prekopp","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":"M\u00e1rton","family":"Kond\u00e9","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":"Judit","family":"Szigeti F.","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":"Ildik\u00f3","family":"Baranyi","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":"Marianna","family":"K\u00fcstel","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"},{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Hang-, Besz\u00e9d- \u00e9s Nyel\u00e9ster\u00e1pia Tansz\u00e9k Budapest 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"},{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar, Hang-, Besz\u00e9d- \u00e9s Nyel\u00e9ster\u00e1pia Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/0165-5876(96)01397-3","article-title":"Childhood pseudohypacusis","volume":"37","author":"1 Pracy","year":"1996","unstructured":"1 Pracy JP, Walsh RM, Mepham GA, et al. 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