{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T05:05:57Z","timestamp":1698210357975},"reference-count":24,"publisher":"Akademiai Kiado Zrt.","issue":"19","license":[{"start":{"date-parts":[[2023,5,14]],"date-time":"2023-05-14T00:00:00Z","timestamp":1684022400000},"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":[[2023,5,14]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az agyh\u00e1rtyagyullad\u00e1sok kapcs\u00e1n kialakult s\u00falyos fok\u00fa\n                    hall\u00e1scs\u00f6kken\u00e9s el\u0151fordul\u00e1sa 0\u201311% k\u00f6z\u00f6tti. A gyullad\u00e1s sor\u00e1n a bels\u0151 f\u00fclben\n                    r\u00f6viddel a s\u00falyos betegs\u00e9g lezajl\u00e1s\u00e1t k\u00f6vet\u0151en hegesed\u00e9s indulhat meg, mely a\n                    betegek hall\u00e1srehabilit\u00e1ci\u00f3j\u00e1t cochlearis implant\u00e1tummal ellehetetlen\u00edtheti. A\n                    rapid folyamat miatt a betegek miel\u0151bbi centrumba ir\u00e1ny\u00edt\u00e1sa kritikus\n                    fontoss\u00e1g\u00fa. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Az agyh\u00e1rtyagyullad\u00e1s kapcs\u00e1n\n                    hall\u00e1sukat vesztett betegek k\u00f6r\u00e9ben vizsg\u00e1ltuk a megbeteged\u00e9s \u00e9s a centrumban\n                    val\u00f3 megjelen\u00e9s k\u00f6z\u00f6tt eltelt id\u0151t, a hall\u00e1srehabilit\u00e1ci\u00f3 lehet\u0151s\u00e9geit,\n                    eredm\u00e9nyess\u00e9g\u00e9t. <jats:italic>M\u00f3dszer:<\/jats:italic> Retrospekt\u00edv m\u00f3dszerrel vizsg\u00e1ltuk a\n                    2014 \u00e9s 2022 k\u00f6zti id\u0151szakban az implant\u00e1ci\u00f3s ambulanci\u00e1n megjelent\n                    postmeningitises betegek k\u00f6z\u00f6tt a hall\u00e1scs\u00f6kken\u00e9s kialakul\u00e1si k\u00f6r\u00fclm\u00e9nyeit, a\n                    k\u00e9palkot\u00f3 vizsg\u00e1latok eredm\u00e9nyeit, a hall\u00e1srehabilit\u00e1ci\u00f3s lehet\u0151s\u00e9geket, a\n                    cochlearis implant\u00e1ci\u00f3n \u00e1tesett betegekn\u00e9l a m\u0171t\u00e9t sz\u00f6v\u0151dm\u00e9nyeit \u00e9s\n                    eredm\u00e9nyess\u00e9g\u00e9t. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 8 beteg ker\u00fclt bevon\u00e1sra (3\n                    gyermek, 5 feln\u0151tt). A hall\u00e1scs\u00f6kken\u00e9s kialakul\u00e1sa \u00e9s a centrumba t\u00f6rt\u00e9n\u0151\n                    ir\u00e1ny\u00edt\u00e1s k\u00f6z\u00f6tt eltelt id\u0151 3 h\u00e9t \u00e9s 9 \u00e9v k\u00f6z\u00f6tt v\u00e1ltozott. A hall\u00e1svizsg\u00e1lat\n                    alapj\u00e1n minden betegn\u00e9l k\u00e9toldali s\u00falyos fok\u00fa hall\u00e1scs\u00f6kken\u00e9s alakult ki. Az\n                    elv\u00e9gzett k\u00e9palkot\u00f3 vizsg\u00e1latok 6 esetben mutattak a cochle\u00e1ban ossificati\u00f3t, 4\n                    esetben bilateralis megjelen\u00e9s\u0171t k\u00fcl\u00f6nb\u00f6z\u0151 s\u00falyoss\u00e1gi fokban. 5 esetben\n                    v\u00e9gezt\u00fcnk cochlearis implant\u00e1ci\u00f3t (4 bilateralis, 1 unilateralis). 3 esetben\n                    implant\u00e1ci\u00f3 nem volt kivitelezhet\u0151 a s\u00falyos cochlearis ossificatio miatt.\n                    Cochlearis implant\u00e1tummal j\u00f3 tisztahang-hall\u00e1sk\u00fcsz\u00f6b mellett rossz besz\u00e9d\u00e9rt\u00e9s\n                    volt megfigyelhet\u0151 minden beteg\u00fcnkn\u00e9l. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Az\n                    agyh\u00e1rtyagyullad\u00e1s okozta s\u00falyos fok\u00fa hall\u00e1scs\u00f6kken\u00e9s rehabilit\u00e1ci\u00f3ja sz\u00e1mos\n                    kih\u00edv\u00e1s el\u00e9 \u00e1ll\u00edthatja a klinikusokat. Kritikus pontja az ell\u00e1t\u00e1snak a betegek\n                    miel\u0151bbi, a s\u00falyos, \u00e9letet vesz\u00e9lyeztet\u0151 \u00e1llapot lezajl\u00e1s\u00e1t k\u00f6vet\u0151en cochlearis\n                    implant\u00e1ci\u00f3s centrumba ir\u00e1ny\u00edt\u00e1sa s\u00fcrg\u0151ss\u00e9ggel. A tov\u00e1bbi audiol\u00f3giai\n                    vizsg\u00e1latok, k\u00e9palkot\u00f3 diagnosztika elv\u00e9gz\u00e9se \u00e9s a miel\u0151bbi implant\u00e1ci\u00f3 a\n                    centrumok feladata. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Javasolt a t\u00e1rsszakm\u00e1k\n                    bevon\u00e1s\u00e1val egy \u00faj protokoll kialak\u00edt\u00e1sa az egy\u00e9rtelm\u0171 betegutakr\u00f3l ezen betegek\n                    eset\u00e9n. Orv Hetil. 2023; 164(19): 729\u2013738.<\/jats:p>","DOI":"10.1556\/650.2023.32760","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T09:20:09Z","timestamp":1684228809000},"page":"729-738","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Agyh\u00e1rtyagyullad\u00e1s okozta s\u00falyos fok\u00fa sensorineuralis hall\u00e1scs\u00f6kken\u00e9s rehabilit\u00e1ci\u00f3s es\u00e9lyei az id\u0151faktor tekintet\u00e9ben"],"prefix":"10.1556","volume":"164","author":[{"given":"N\u00f3ra","family":"Kecskem\u00e9ti","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":"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":"R\u00e9p\u00e1ssy","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":"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":"\u00c1d\u00e1m","family":"Paksi","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":"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"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1007\/s00405-008-0584-1","article-title":"Audiological performance in cochlear implanted patients deafened by meningitis depending on duration of deafness","volume":"265","author":"1 Durisin","year":"2008","unstructured":"1 Durisin M, Arnoldner C, St\u00f6ver T, et al. 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